Follow-Up: My doctor just prescribed Provigil to me to augment Effexor for my depression, and because I suffer from MAJOR chronic fatigue syndrome. Today was the first day I tried it (200mg) and I ended up in the emergency room with the most dibilitating migraine of my life. I was also vomiting excessively. It didn't even dawn on me until I just got home that it could be from the Provigil. I had no clue why I was so sick, but now that I read some of these messages, I am starting to wonder. It did increase my energy for most of the day. But when the headache hit, it was all over. Could someone please help me out with some insight? Thanks so much