Re: breaking out from pill or provigil? which one?
I'm several years too late to provide any useful info to the original posts here, but maybe this will be useful to other late-comers.
The Provigil definitely can cause acne. I used to get acne as a teenager but Provigil has made my skin even worse than it used to be! But I'd rather be functional with acne than disabled with clear skin. Life isn't always fair...
I do have some info that may help though -- at least it worked for me. In addition to a pretty thorough and consistent OTC acne-treatment skin care routine, which helped reduce the longevity of break-outs but did not prevent them, I started taking MEGA doses of supplements for liver support and detox, plus a fiber supplement at night (not mega dose, just a normal dose). That stopped new break-outs: I literally went from a few new zits every morning to no new zits the next morning after starting the supplements.
My reasoning was this: sometimes certain foods (chocolate, soda, alcohol) trigger break-outs. Sometimes acupuncture or massage will trigger break-outs, and I had heard it's the body trying to get rid of toxins. So I thought maybe the food-related stuff was a similar issue, namely toxins. Provigil is processed/delivered by the liver... you see where I'm going. So I tried out the liver support/detox idea, and lo and behold, instant results. I missed my dosage for two days because I left town and forgot to bring my supplements with me, and on the third day I had broken out again.
So I would say we should never give up the benefits of Provigil because of acne, but we should try to manage the acne with
1) using a regular OTC skin care regime (who needs more pills?)
2) eliminating foods associated with break outs
3) supplementing with fiber to help rid the body of toxins
4) drinking plenty of water to help the fiber and help the detox
5) taking mega-doses (maximum safe dose) of liver support/detox supplements (I take half the daily dose in morning, half at bedtime). The liver/detox supplement should have milk thistle and (real) licorice root at a minimum. You can search the web for recommendations.
Good luck, everyone!