Also, in all seriousness and joking aside, you can try out
melatonin supplements (dat pineal endocrine function - mmmmm) before you go to bed.
To be more specific, I would use the supplements on the days leading up to the test/week beforehand to adjust your sleep schedule to wake up as early at 6-7am without any problems. Even though there are few side effects, and due to slight superstition on my part, I would refrain from taking the pills on the night of your exam. They are extremely useful for jetlag situations, and I have been able to adjust my horrible 6am - 1pm sleep schedule to a more reasonable 11pm - 8am one. Gone are the nights where I would sleep when the sun would rise.
And they're mad cheap.
As a doc, things to know about melatonin:
Some risk of sleepiness the next day. Very slight risk of depression, usually just a risk in someone with pre-existing depression (although melatonin is arguably a great strategy for improving sleep) so this is just something to monitor for.
More is not necessarily better with melatonin, take the lowest dose first and work up as needed, it can have a paradoxical effect at higher doses (insomnia), something to watch for. Start at 1 mg and can end up at 3 mg. I would see a doc before going beyond that dosage.
Also, I would see what, if any effect, you might have skipping a nighttime dosage before a practice test. I wouldn't recommend any changes in medication before a big test, at least any you're not confident about.
Don't know what the bolded term means, or if it even correlates with specifically MCAT test performance. Citation needed.
Nice one on q2, HA, NSAIDs, PRN, etc. btw 🙂
Or tryptophan. But that sometimes gives me hypnagogic hallucinations. And can't effectively overpower a good stimulant. Same goes for the quils.
Since I'm an actual MD that popped in here to give advice, my use of abbreviations came naturally to me.
I'll let you do your own research on sleep medicine, no one has to take my word on anything I've written here.
As far as having a sleep/wake cycle similar to what you'll want test day for 1 month beforehand, I'm being conservative. 1 month is for anyone fighting their natural sleep/wake times.
I know people who slept till noon and went to bed at 2 am on the regular that thought they'd turn it around right around test day.
Maybe adrenaline and fear of such a ridiculous time change kept them alert through the day.
Anyway, I don't have citations but as someone who left to their own devices sleeps/wakes 2 am and noon, and lives in a state of perpetual social jet lag, I researched sleep medicine heavily, and kept a 6 am wake and 9 pm bedtime religiously for 1 month as I had read about, still barely turned around to being alert for an 8 am exam, and did above average on Step 1. Granted that's not the MCAT, but I took that too. I'd say my test taking history is pretty solid.
Take it for what you will.