The last option should be the use of prescription medications called stimulants. These medications may include
Ritalin,
Provigil, and
Nuvigil. They act via various mechanisms on the brain to promote attention and alertness. They can be addictive, however, and are rarely used to treat excessive daytime sleepiness. In some sleep disorders, such as
narcolepsy or severe
sleep apnea, they may be indicated, as well as in other conditions such as the fatigue associated with multiple sclerosis. If you wish to use these medications, you should consult your doctor.