Modafinil netherlands

Seasonal affective disorder (SAD) is a mood disorder.
Its symptoms of it mimic those of dysthymia or even major depressive disorder.
Patients with SAD have normal mental health throughout most of the year exhibit depressive symptoms at the same time each year, most commonly in winter
Common symptoms of SAD include: sleeping too much, having little to no energy, and overeating.
Summer SAD can include heightened anxiety.
Additional names for the disorder: Depressive disorder with seasonal pattern, winter depression, winter blues, summer depression, seasonal depression.
Bright light therapy is a common treatment for seasonal affective disorder.
It is a common disorder.
Its prevalence varies with geographic location: affects from 1.4% in Florida to 9.9% in Alaska.
6.1% of the population experiences seasonal affective disorder.
There is a connection between mood, energy level, and the seasons.
SAD may lower the likelihood of risky behavior, and those affected are more likely to opt for conservative activities.
Individuals with SAD may exhibit depressive symptoms: hopelessness and feelings of worthlessness, suicide ideation , loss of interest in activities, withdrawal from social interaction, sleep and appetite problems, difficulty with concentrating and making decisions, decreased libido, a lack of energy, agitation, oversleeping or difficulty waking up in the morning, nausea, and a tendency to overeat, often with a craving for carbohydrates, which leads to weight gain.
It is typically associated with winter depression, but an association with springtime lethargy or other seasonal mood patterns occur.
Patients who experience spring and summer depression are more likely to experience: insomnia, decreased appetite, weight loss, agitation or anxiety.
While most people with SAD experience major depressive disorder, but as many as 20% may have a bipolar disorder.
Around 25% of patients with bipolar disorder present with a depressive seasonal pattern.
Depressive seasonal pattern is associated with bipolar II disorder, rapid cycling, eating disorders, and more depressive episodes.
In seasonal pattern presentation males present with more Bipolar II disorder and a higher number of depressive episodes, and females with rapid cycling and eating disorders.
Seasonal affective disorder (SAD) is most prevalent in patients with early-onset bipolar II disorder, compared with other early-onset mood disorders and healthy control subjects.
Seasonal impairment is greater in patients with mood disorders compared with healthy controls.
Among patients with mood disorders, those with bipolar II disorder had the highest prevalence of SAD.
SAD affects 23% of participants with bipolar II disorder, compared with approximately 10% of participants with major depressive disorder and bipolar I disorder and just 6% of healthy controls.
Various causes have been proposed but SAD’s explanation remains obscure: lack of serotonin, and serotonin, lack of sunlight, polymorphisms, could play a role in SAD.
Another theory is that the cause may be related to melatonin which is produced in dim light and darkness by the pineal gland.
Certain personality traits, neuroticism, agreeableness, openness, and an avoidance-oriented coping style, appeared to be common in those with SAD.
Seasonal mood variations are believed to be related to light.
An argument for this view is the effectiveness of
Bright-light therapy is effective management of SAD associated delay in circadian rhythm.
At latitudes in the Arctic region, the rate of SAD is 9.5%.
SAD negative affects include cloud cover.
SAD has the potential risk of suicide.
6–35% of sufferers of SAD required
hospitalization during one period of illness.
Patients may lack energy to perform everyday activities.
Subsyndromal Seasonal Affective Disorder (SSAD) is a milder form of SAD.
SSAD is experienced by an estimated 14.3% of the U.S. population, vs. 6.1% SAD.
The depressive symptoms in SAD and SSAD sufferers can be improved by exercise and increased outdoor activity, particularly on sunny days, resulting in increased solar exposure.
Mood and energy levels vary by season.
Seasonal affective disorder criteria:
depressive episodes at a particular time of the year
remissions or mania/hypomania at a characteristic time of year
these patterns must have lasted two years with no nonseasonal major depressive episodes during that same period
Seasonal depressive episodes outnumber other depressive episodes throughout the patient’s lifetime.
Treatments for winter-based seasonal affective disorder include: light therapy, medication, ionized-air administration, cognitive-behavioral therapy and supplementation melatonin.
This suggests that light therapy may be an effective treatment for SAD.
Light therapy uses a lightbox.
with the patient sitting a prescribed distance, commonly 30–60 cm, in front of the box with eyes open but not staring at the light source for 30–60 minutes.
Dawn simulation is also effective, and has up to 83% better response when compared to other bright light therapy.
Light therapy can also consist of exposure to sunlight, either by spending more time outside.
Selective serotonin reuptake inhibitor antidepressants are effective in treating SAD: 67% effective in treating SAD.
Light therapy shows earlier clinical improvement, generally within one week.
Bupropion prevents SAD in 25% of people.
Modafinil is effective in patients with seasonal affective disorder.
Negative air ionization, thatis releasing charged particles into the sleep environment, id effective with a 47.9% improvement if the negative ions are in sufficient quantity.
Physical exercise is an effective form of depression therapy,
The addition of multiple forms of treatment for SAD increases efficacy.
Evidence for cognitive behavior therapy or any of the psychological therapies aimed at preventing SAD remains inconclusive.
Winter depression is common in most of the Nordic countries.
Iceland, however, seems to be an exception, with the prevalence of seasonal affective disorder and seasonal changes in anxiety and depression to be unexpectedly low in both sexes.
Propensity for SAD may differ due to some genetic factor within the Icelandic population, while others suggest that this may be attributed to the large amount of fish traditionally eaten by Icelandic people.
In Alaska the SAD rate is 8.9%, and an even greater rate of 24.9% for subsyndromal SAD.
Around 20% of the inhabitants of Ireland are affected by SAD.
Women are more likely to be affected by SAD than men.
An estimated 3% of the population in the Netherlands suffer from winter SAD.
​
https://standardofcare.com/seasonal-affective-disorde

Hey everyone, warning... I have accidentally written an extremely long post here as a result of procrastinating. (I gave this quite a lot of thought and still think most of you would really enjoy this post so give it a read!)
​
I am at episode 6 of season 1 right now and have a few thoughts about one of the most frequent comments I see on this subreddit about how realistic this show is or isn't. This is of course based on my personal experiences as a 20-year-old uni student/intern in Europe. (Which together with the UK hasn't quite integrated the ''healthy habits' obsessed mindset that many American professionals seem to have acquired. A pretty cliche example but smoking a cigarette in many European countries doesn't carry that 'gross' factor and is weirdly still a bit of a class/coolness indicator. Only when the rest of the image fits ofc.)
I have many quirks when I watch any TV show or movie and I tend to rewatch every scene if I think I even missed the slightest background detail. Mostly because of my interest in cinematography and foreshadowing in well-written mainstream TV shows, so I especially don't want to miss any artistic (subtle) choice made by the directors and editors. ('well written' is of course subjective but I extremely enjoy paying close attention to shows like GoT, Succession, Madmen, and now Industry, etc) This all leads me to usually also browse the show's subreddit while watching for others' thoughts and explanations.
I might be wrong here because I haven't watched all episodes yet and the drug use might still get ridiculous but up until the episode I am watching rn (1x06) I have to say I disagree with the most commented statement on this subreddit when a post asks about how realistic the show is. Usually, that comment is along the lines of "very realistic except the drug use is exaggerated". I'll explain why personally I think this is the most realistic portrayal of white-collar drug use in the modern 'high-profile and large-offices-with-a-shit-ton-of-marble-in-any-metropolis' world.
The show doesn't necessarily make everyone a crazy snorter who takes just about any drug. It mostly emphasizes drug use by graduates who find themselves in a very high-stress appearance-and-performance-based environment. Naturally, these graduates have worked hard or scammed hard to be in that position, but usually come to the realization that actually having to prove themselves 'worthy' of their position starts AFTER getting that position.
I'm gonna generalize a bit here: Our graduates at PP, like most Gen-Z students have probably encountered a lot of drug use during their time at uni. Unlike previous generations, we tend to reach for drugs sooner instead of alcohol. (mostly bc stigma is slowly disappearing, alcohol is too expensive and normalized as if it's better than drugs when that's not always the case). If not the usual joint or bump of coke at a function then probably more trendier Gen-Z drugs like Ket, 2CB, 3/4-MMC (and like many millennials of course... ADHD medication) It all used to depend on which circles you ran in as a student but with social media and the stigma on drugs lessening almost every single student even if they don't participate at least knows about the drugs being used regularly by their peers.
So while drug use is not the main focus of the show it plays a substantial role. (I'd say all the powders and pills are as important if not more than any single character by itself). Now these TV characters are of course not showing us every single thought or second of their day but we do get a look into WHEN they use and WHAT they use. Greg giving Harper modafinil in the office after a sesh-night is the perfect example of what I'm trying to explain. We saw these people party hard in their off time, which has been a stereotype about young office workers for ages now, and we saw them use the drug of their choice to socialize and let off some steam the night before. When they return to the office any one of them could have been the person to probably ask for a 'pick-me-up' aside from coffee. In this case, it's Harper who we haven't seen use drugs at the office before, using Modafinil, but her circumstances explain to us pretty clearly why she decided to do it this time. Modafinil was offered but could have just as well been Ritalin, Adderall, Vyvanse, or even if she did this regularly... a small bump of Coke (IDK yet if this continues but like with anything, once you've crossed a border like using at work the threshold to repeat that behavior is significantly lower).
Now here is where I believe my personal experiences matter. I am the perfect example of a (not so) typical student who is trying to achieve high-set corporate goals. I am a child immigrant of poor parents and attend a University that is nationally known for its posh demographic SPECIFICALLY at the law faculty. Posh or not eventually you come in contact with your fellow students. Now like the finance world, the law world has those few big impressive offices located in those big metropolises you can only dream of working at... if that's your goal. In The Netherlands, this location in Amsterdam is called the Zuid-as, literal translation South-axis, but is most commonly referred to by students (or anyone else trying to criticize that place) as the Snuif-as, literally ... the snorting axis. So around here snorting stimulants to work better at the office is a well-known phenomenon/stereotype.
Because of how known and 'good' these big offices are, in any industry, this usually leads to them being EXTREMELY hard to enter if you're just another student who gets almost-good/extremely-good grades. I know some might find it weird that extremely good grades don't guarantee a high-profile job anymore but with so many extraordinary students applying themselves and competing for that same position... good grades and a reasonable CV don't cut it anymore if you also don't have any networking connections. Almost every high-profile office in any white-collar industry deals with this same problem.
Reaching success in these professional worlds, if you can't use nepotism lmao, is now mostly all about how good you are at playing this new game that consists of networking, achieving extraordinary results, being socially and personally well-rounded, and most importantly... having that long-term stamina so you can balance all of this without burning out after a year (hopefully). And guess what, they don't teach this at most Uni faculties which has led to the majority of that young high-achieving demographic to experiment with methods and indirectly teach each other what works and what doesn't. The said, I haven't even mentioned any use of personal time to relax lol, there aren't that many hours in a day for this demographic.
And guess what? While taking drugs is not the best solution to improve performance generally. In these efficiency-orientated capitalistic societies, so much is expected from these young graduates. It eventually leads to the majority of these Western Gen-Z'ers temporarily using stimulants as a crutch to balance this life so that eventually they can make it big. Aside from any recreational drug use we/they might participate in. Idk yet if this will continue since mental health is also becoming a bigger priority but MY guess is it will become a huge problem in the future unless we change our way of working and how we define success, but we'll see with time as more of this generation enters these competitive workspaces.
​
Extra thoughts directed at you the reader:
If this all seems very unreliable to you as a viewer, whether you work in these high-profile industries or not, I'm going to be a bit rude and say that that's probably because of your age (not understanding the demographic this show explores), or just because you aren't in those inner circles. If you are 19-28 but have never been offered anything/seen anything get used and think any drug use is usually a lot more private and secret... that's probably because your peers don't trust you enough yet to invite and share anything with you openly. (And ofc don't forget this show is fiction and uses any medium dramatically for the plot)
It's important to mention that when I use any words like the typical student, the majority, generally, etc. I am referring to the demographic that is liberal about using any substances. In the past, this might have been alcohol, nicotine, or weed. So not the stereotypical goodie two shoes that doesn't partake in anything because of morals, religion or personal circumstances.
TLDR if you're lazy:
I think this show accurately portrays white-collar drug use in high-stress corporate environments. The drug use shown is mostly among young graduates who have already encountered drugs during their university years. The show highlights when and why they use drugs, reflecting the reality of balancing work and social life. It's realistic for those familiar with the demographic it explores, and drug use is becoming more common as a performance enhancer among young professionals.
Anyways hope you enjoyed this read, it's 2:11 AM here and I have 5 more hours of lectures to watch lmao, so while I am a night owl... it's time to break out the coffee ;)

I've got my diagnosis 2 years ago and my medication, and it has been a year now since I started with modafinil treatment... all this happened in spain, so now, staying temporary in netherlands I'm considering the option of stay here.
But, what's the matter with my diagnosis and medical precription from spain? does it works here in netherlands? I guess the answer is no, but in that case, what then? should I pass all the tests again or what??

Hi all, first of all, English is not my main language so I hope you will understand what i’m writing.
I suffer from depression for many years and I have diagnosed ADD. (with lack of motivation, no focus and procrastination being the worst symptoms for me). Throughout the years I’ve been on several AD’s and Ritalin, Dex and Wellbutrin. Wellbutrin helped a little with both depression and add symptoms but I had to stop taken it because of side affects. I also tried a lot of natural stuff like l-tyrosine, Munich Pruriens, 5-http, LTO3 and other supplements. Nothing really helped.
Since a few weeks I’m depressed again. On Reddit I read a lot about Modafinil and it interested me very much. I read a lot of studies and reviews and really wanted to give it a try. I live in the Netherlands and here is is rarely prescribed for ad(h)d and even more rarely gor depression. Today I had an appointment with a psychiatrist and I told him about Modafinil. Because I had such good arguments and studied it so well he decided to prescribe it to me. I didn’t expect that at all and I’m pleasantly described.
My psychiatrist did not really know what a good starting dose was since he is not familiar with it, he suggested to start with 100 mg. Do you all think that is a good dose or should I start with 50 mg and see how that goes? I think that is many better because I have read about tolerance?
Another question is about sleep. I suffer from insomnia as well and I am a little concerned that that will be worse. Do you all have experience with that? I occasionally use Zopiclon and there is no contradiction with that.
Last question: how soon will it work? Is there an average answer for? Does it work right from the start or does it take a few days or weeks?
I’m gonna start tomorrow I think, pharmacy has to order it for me but it will be in tomorrow . If it arrives not to late I will start tomorrow or otherwise on Saturday.
I’m very exited and I hope it will work for me 🙏🏼 Thanx in advance for replying to me!

All over the world, scientists are experimenting on soldiers to keep them awake beyond the limits of normal endurance. Researchers are engineering, and militaries are deploying, chemically enhanced troops. Of all the superpowers we’ve imagined, the one that has turned out to be most attainable—so attainable we’re already using it—is the ability to go without sleep.
Much of this research, which focuses on a drug called modafinil, is openly sponsored and supervised by military agencies. The United States leads the pack, conducting experiments through its Air Force Research Laboratory, Army Aeromedical Research Laboratory, Army Medical Research and Materiel Command, Walter Reed Army Institute of Research, and Special Operations Command Biomedical Initiative Steering Committee. Other countries’ armed forces are studying the same drug: Defense Research and Development Canada, China’s Second Military Medical University, the Netherlands Ministry of Defense, South Korea’s Air Force Academy, Taiwan’s National Defense Medical Center, and the Bioengineering Laboratory of Singapore’s Defense Medical and Environmental Research Institute. India is investigating modafinil through its Institute of Aerospace Medicine and Defence Institute of Physiology and Allied Sciences. France’s research program includes its Ministry of Defense, Military Health Service Research Center, and Institute of Aerospace Medicine. Many of the supervising agencies sound Orwellian: Human Effectiveness Directorate, Fatigue Countermeasures Branch, Département des Facteurs Humain. This, mind you, is just the published research. God knows what’s going on in secret.
The publicly reported studies have tested modafinil in Black Hawk helicopter pilots, F-117 fighter pilots, French paratroopers, and Canadian reservists, among others. They’ve simulated A-6 Intruder bombing missions, AWACS flights, and French Navy patrols. In nearly every trial, modafinil has extended the ability to function without sleep. And we’re already using it in the field. The United States has given modafinil to Air Force personnel since the 2003 Iraq invasion. By 2004, the British Ministry of Defense had bought 24,000 tablets. By 2007, France was routinely supplying it to fighter pilots.
Why has functioning without sleep, unlike other fantasized human enhancements, become real? Because the immediate goal is modestly defined, demonstrably achievable, and easy to measure in experiments. We don’t have to keep you awake forever. We just have to compensate, partially and temporarily, for the cognitive impairment caused by your lack of sleep. In a way, we aren’t enhancing your performance. We’re just raising it back to your normal level—the level at which you function when you’re wide awake. The published experimental reports propose to “sustain,” “maintain,” or “restore” what they call “baseline,” or “pre-deprivation” performance. They aim to “attenuate,” “alleviate,” or “reverse” the “deficits,” “decrements,” and “degradations” caused by sleep deprivation. They speak of modafinil as a “countermeasure” to the “negative effects” of long shifts.
Why are armed forces leading this research? Because they feel the greatest urgency. For an airline or freight company, failure to complete a flight means financial losses. For an air force, it means casualties. In civilian life, you can schedule reliable overnight rest or naps. In war, you can’t. Maybe you’re alone in a cockpit. Maybe you’re on a 12-hour mission requiring constant vigilance. Nobody’s around to take the next shift. Even if somebody were, how are you supposed to sleep in the chaos of combat?
Soldiers have been using stimulants forever. The British downed tea. The Prussians tried cocaine. Nearly every army has leaned on coffee or tobacco. In World War II, both sides took amphetamines. The U.S. military officially approved amphetamines in 1960. Since then, we’ve employed them in Vietnam, Panama, Libya, and during the first Gulf War. Today, all four branches of the U.S. armed forces authorize the use of dextroamphetamine under specific conditions. The Army rations caffeine gum, and every survey suggests that most U.S. aircrews, when in action, use stimulants.
Against this background, modafinil represents a refinement, not an amplification. In 1989, at a defense conference in Europe, a French scientist proposed it for military use. Researchers from the U.S. Air Force Human Systems Division took note and recommended further experiments, based not on the drug’s power but on its precision. Compared with amphetamines and caffeine, modafinil has shown less addictiveness, less cardiovascular stimulation, and less interference with scheduled sleep. Military-sponsored studies have focused less on demonstrating modafinil’s efficacy than on narrowing the effective dose and averting side effects.
In their papers, these researchers never talk about superhuman warriors. They stress a conventional objective: saving lives. They point to fatal accidents and mission failures, including friendly fire incidents, caused by sleep deprivation. Exhaustion kills.
That’s where the logic of enhancement begins. What used to be normal—needing eight hours of sleep each night—is now understood as a fatal flaw. An Israeli report, “Psychostimulants and Military Operations,” examines this “human-machine conflict,” lamenting, “Although an aircraft can mechanically function effectively throughout long hours, pilots cannot.” Canadian defense scientists also highlight this “discrepancy between human need and technological capability.” A U.S. Air Force document warns of disastrous “sleep attacks”—exhausted personnel nodding off on the job. We are the defect. We must be cured.
The cure began with stimulants. Then it expanded to combinations: hypnotics to induce sufficient sleep before your mission (currently approved and administered by all branches of the U.S. armed services), followed by stimulants to switch you back on. The initial idea was to keep you awake for a few extra hours. But the experiments have grown more ambitious, testing drugs for 40, 60, or even 90 hours without sleep. In journal articles, scientists have speculated that with modafinil, troops might function for weeks on just four hours of sleep a night.
Next comes the doping of fully rested troops. “Even in situations where soldiers do receive enough sleep,” says a 2010 report from the U.S. Army Aeromedical Research Laboratory, “they may not be able to maintain appropriate levels of vigilance during long periods of overnight duty without some form of assistance.” This drug treatment can be justified as therapeutic, according to the army lab, since combat is an inherently “abnormal environment,” imposing “extreme conditions” that “degrade optimum duty performance” and “increase soldier risk.” The report points out that “the military has long facilitated (indeed, mandated) pharmaceuticals such as immunizations and prophylaxis in healthy soldier populations where the threat is clearly identified, the risk is unacceptable, the science is sound, the drugs are safe, and the fighting force must be protected and sustained. In the case of cognitive enhancement, for example, one may characterize the threat as an intrinsic agent such as fatigue from necessary sustained combat operations.”
Once we head down this road, there’s no turning back. With multiple countries investigating military modafinil, staying awake becomes an arms race. A report by the U.S. Air Force Research Laboratory explains why: “Forcing our enemies to perform continuously without the benefit of sufficient daily sleep is a very effective weapon.” To win this war of exhaustion, we must “manage fatigue among ourselves.” We must drug our troops to outlast yours. You, in turn, must drug your troops to keep up. On the battlefield of the future, there is no sleep but death.

Have other EU inhabitants noticed this? Has there been a change in regulations or is it just due to the end of the school/academic year and covid?

- 27 male, 84 kg (14%BF) and 181 cm, Healthy?
- Non-smoker for 6 months.
- Occasional low intake of hashish by smoking.
- 1 Modafinil pill every 3 days because of previous problems with sleep paralysis.
- Netherlands at home.
- No further medical conditions.
If anyone could help me with advice or similar experiences it would be very welcome since I am uncertain what exactly happened to me yesterday.
I would like to start this off by saying that I’ve had very few physical ailments in my life and am in a good/great physical condition at this point of my life 27/M . I also take 1 modafinil pil every 3 days (at the time I hadn’t had any for 2 days) because I’ve had some sleep paralysis in the past and smoke a little bit hashish before bedtime, a couple of days every week. Although a lot of stressing situations have come into my life this past month, as a bonus the corona virus pandemic of which I’m terrified.
After having a rather rough day without eating and involving multiple stressful situations, I was feeling hungry and we decided to make some food. Plopped some sandwiches on the grill.
Meanwhile I thought it was a good idea to smoke some hashish (Legal), went outside and smoked probably about 30 percent more than I usually do in one sitting, totaling to about half a joint with very little actual hashish inside.
After that i was thinking about everything that happened and I started feeling very shallow and dizzy. This continued for about 15 seconds until I had to grasp the kitchen counter to keep myself from falling, unfortunately to no avail.
The feeling I had while this all happened is very hard to describe, it almost felt like the dizziness you sometimes feel when you rise out of your bed too fast. Although this felt way less real yet more intense in a way. My SO also said i had my eyes opened but wasn't reacting to anything, but for me it felt like i was viciously shaking my head. This didn't last long since she heard me drop and immediately ran towards me, so approx 10 seconds.
After regaining consciousness the first thing I heard was my SO screaming my name and asking what was wrong with me and telling me we should call an ambulance, which in my funky feeling brain felt like a no-go so I decided to play it off. The only problem with me trying to do this was that it wasn’t over yet… After regaining my footing, I tried walking which in turn made me faint at the front door. I tried once more and decided to sit down on the couch. Where I asked for food because I felt hungry because in my thought at that time it might be a cause of not eating and a lot of stress during the day. I was still too dizzy to actually make a lot of sense of what happened, I knew I fainted but I didn’t know why it wasn’t over yet so I started to panic without showing any panic signs because I would never put more pressure on my SO in a stressful situation like this.
I then decided it was time I took a shower because I was super sweaty all over my body and super pale in my face. I felt a light tingling sensation in my fingertips and the left part of my lip felt as if it wasn’t reacting correctly.
While I was on the stairs to go up to the shower, I fainted 2 more times for approximately 5 seconds each. I continued up the stairs, in the hallway I dropped down one final time for about 15 seconds. My SO then rushed to get her phone downstairs to call an ambulance. I noticed the silence, woke up, chased after my girlfriend as if everything was fine. I just wanted her not to be scared since I was really scared myself, I didn’t want to cause any more panic in her.
Then I proceeded to ask her for permission to take a shower and reassess what happened before we call the ambulance or doctor’s office. During these trying days I’d rather avoid any hospital or doctor if I can. Took a shower and had to sit down on the floor, the soft water against my skin felt like the best shower ever and I regained a little bit more balance after sitting on the shower floor for about 10 minutes.
I got dressed and went back downstairs, I finally started to realize that what had just happened might not be the healthiest thing in the world so I decided to have a bite to eat and search some symptoms with my girlfriend. 5 Minutes passed by and deep inside I had this weird feeling that it might have been a stroke because of the previously mentioned tingly sensation in the fingertips and the left corner of my lip not feeling as if it reacted correctly.
Fast forward after calling the local doctor’s office after which she told me to visit the local hospital. Still felt very dizzy during the ride over there but I was starting to doubt if it was just me being a stoner. I entered and told my story, she then proceeded to take my heart rate, blood pressure and temperature which were all perfect, she also tested if I had any strength loss in either one of my arms which was not the case at any point.
Doctor’s conclusion was a combination of deprivation of food and accumulation of stress, she also said the tingling/cold feeling in my fingertips is something that comes with stress.
This feeling is gone now yet I have a weird feeling left eye but I think it might have stretched itself when I went offline.
TLDR;
27/m Fainting 5 times in 15 minute time period and having a tingling sensation in fingers and left mouth corner. 45 minutes after I have perfect vitals at hospital. Doctors conclusion ; Stress and food. Uncertain about doctor’s conclusion.

Hi all,
I live in Brazil and I've been using the combination of Modafinil, Ritalin and the SSRI Citalopram for my narcolepsy and cataplexy since I was diagnosed in 2010. The regulation for that kind of medication is very rigid but I can get my prescriptions and I can buy them without any problem.
It happens that I will be moving to The Netherlands early next year and I have no idea on how narcolepsy is treated there, what kind of medication is available there, how to get prescriptions, the average cost of treatment and so on...
Any information that you guys can share related with those questions will be very helpfull!
Thanks very much and happy holidays for us all!
Rogério from São Paulo, BR.

I've once ordered Modafinil on the clearnet (from India) and got the love letters that customs had seized the package. I just ignored them and never ordered anything again.
Now I want to order something from Berlusconi. I've carefully encrypted all comms with PGP, use tails and a VPN. I can't receive mail at my home address because I live in a secured estate. No one gets in or out - certainly no postman.
So I want to open a PO Box in town. My question is whether any one knows how likely it is that my package will be seized again? Has any South African ordered before with success? There are no domestic vendors of the stuff I want to order. So I want to order from a vendor in the UK. I carefully decided this (even if it's more expensive) because I think packages from India, Netherlands, Pakistan etc. will look inherently suspicious to customs.
Some advice / insights would be highly appreciated.

Hi all,
I am about to start writing my thesis and I will also do few presentations about it in the next few months. Thus, I am looking for a great stack that can help me mostly with focus (I get hugely distracted by literally anything), recall and verbal fluency (for presentations), and comprehension.
I tried most nootropics and medicines and I am based in the Netherlands so I will have to stick with products that can get shipped here.
Current stack:
omega3 (DHA) 1g
ALCAR 500mg
Alpha GPC 300mg
Magnesium 400mg
Uridine 1.5gr
Creatine 5gr
Acetyl l Tyrosine 100mg
Caffeine (i drink 2/3 coffes a day)
I also take when needed: Modafinil 200mg, Ritalin 20mg, Amphetamine salts 15mg (i take amp max 3 times a week).
I also have the following:
Phenylpiracetam, Semax, Phenibut and Buproprion and I would like to know if i can add them to the stack (I am particularly interested to know if i can combo Bupropion with amphetamine and Phenylpiracetam and to which extend I can benefit from phenibut or i should just use it for anxiety during the presentations).
I am looking to add centrophenoxine and/or aniracetam (I tried aniracetam before and I liked it but MN doesn't sell it anymore). Also, I could not find any vendor selling those 3 products in EU and I would appreciate if you could pm a source/website.
Final line: I eat healthy, do regular exercise and sleep well.
Any input will be appreciated very much and if you need any other info please let me

Hi all,
I am about to start writing my thesis and I will also do few presentations about it in the next few months. Thus, I am looking for a great stack that can help me mostly with focus (I get hugely distracted by literally anything), recall and verbal fluency (for presentations), and comprehension.
I tried most nootropics and medicines and I am based in the Netherlands so I will have to stick with products that can get shipped here.
Ps: I think I have ADHD but never got diagnosed and I cannot go to a doctor for it now as I have no insurance atm.
Current stack: omega3 (DHA) 1g ALCAR 500mg Alpha GPC 300mg Theanine 100 2/3 coffees during the day
When I really need to study hard, I take 10/15 mg of amphetamine salts or 200mg of modafinil or 20mg of ritalin (I only have 10 ritalin pills left and I honestly prefer amphetamine salts as ritalin kinda gives me a sort of weird come down in the evening). I am aware that adderall would be the best but there is no way to get my hands on it in EU. Unfortunately.
I am looking to add SEMAX and/or centrophenoxine and/or aniracetam (I tried aniracetam before and I liked it but MN doesn't sell it anymore). Also, I could not find any vendor selling those 3 products in EU and I would appreciate if you could pm a source/website.
Final line: I eat healthy, do regular exercise and sleep well.
Any input will be appreciated very much and if you need any other info please let me know. thank you!