<s>[INST] I am prescribed klonopin and celexa for agoraphobia. Then 50mcg patch fentenyl for gastoparesis uncontrolled attacks. Then topomax and elavil for 25 years of migraines. I hate feeling tired and listlessness all the time. I want to get off my sofa and do something. What do you recommended? Caffeine? Vitamins? Just please keep in mind my prescribed medicines have my symptoms mostly under control. [/INST] Hello, Thanks for using Chat Doctor. I am sorry to know that the prescription medications causing tiredness and fatigue while controlling the symptoms. Considering the effectiveness of medications I feel following options can be explored.1. Vitamin D as it helps in cognition and mood symptoms in addition to physical symptoms.2. Mdafinil- This is a prescription only medication which can control most of your symptoms resulting from various medications. I generally recommend 100 mg in the morning and get good results in most individuals with similar presentation. I hope this helps you. Feel free to write back to me if you have more questions. Thanks again. </s>