Sorry I know this is probably not the best title for a thread but I'm looking at getting back into some serious study and examinations soon. I've been fortunate enough that my CFS/ME condition appears to have stabilised somewhat so I've decided to take a gamble and do some studies. However the biggest problem I still face is daytime tiredness. At this point I'm looking for stimulants to take in the morning to get me through the day. I'd like to try Adderall but that is unavailable in Australia. I don't have the time to see a Psychiatrist to attempt to get Ritalin but I'll consider that anyway so what options do I have for over-the-counter stimulants. -I've considered caffeine pills. But I'm also thinking of -Nicotine gum (I'm a non-smoker) -clenbuterol (I'd have to order online -also unavailable in Australia) On the subject of Nicotine is it possible it can help with Orthostatic Intolerance. Wiki says that Nicotine is harmful to the heart because it constricts blood vessels forcing the heart to pump faster but with the autonomic dysfunction in CFS/ME isn't our problem that our blood vessels don't constrict enough - hence we don't get enough blood pumped to the brain so nicotine could possibly be helpful? Does anyone have any suggestions with this? I don't like the idea of taking heavy stimulants habitually but I really want to achieve more this year so I've decided it's worth the risk.