Modafinil
shift work sleep disorde
"I work long hours at an ED in a small Swiss community hospital. Had bad trouble staying awake. I took everything - caffeine pills, OTC ephedrine at high doses, on the end even tramadol, ritalin and benzos. Modafinil helped me get off these pills - with 200 mg I can stay awake a whole busy 14-hour shift. As side effects I noticed some mild headaches, dehydration, nausea and kind of mild aggression. In Switzerland it's off label and only for narcolepsy, therefore you have no insurance coverage. 100 mg generic modafinil from TEVA are 2.50 CHF or so (about 2.45 USD), guess it's worth it."