Kyle,

       I know little of Provigil(modifanil) It's use is to counteract
sleepiness(narcolepsy). I would be alert to its possibly exacerbating spasms.
All I know is I have experienced the spasms you describe on an irregular
basis and they are intolerable. Your description is very accurate, but I do
not know what to recommend. I am so sorry, since I understand (somewhat) the
pain that takes your breath away.

Bobby

> 4)      Bobby, what can you tell me about the use of Provigil to counteract
> the somnolence brought on by opiate pain meds?
>
>