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What Is Provigil Used For ?

Provigil (modafinil) is an oral prescription medication that reduces daytime sleepiness in people with narcolepsy, obstructive sleep apnea, and shift work sleep disorder. Provigil, a central nervous system (CNS) stimulant, is believed to work by increasing the availability of certain chemicals in the brain, most notably dopamine. Provigil is available in tablet form. Provigil is classified as a Schedule IV controlled substance. This means it has a potential for abuse and dependence but is less likely to cause dependence than stimulants like Adderall (a Schedule II controlled substance). Modafinil is used to promote wakefulness in patients with excessive sleepiness associated with narcolepsy, obstructive sleep apnea (in addition to treatment of the underlying obstruction), and shift work sleep disorder. Narcolepsy is a chronic disease of the brain and spinal cord characterized most commonly by a recurrent, uncontrollable desire to sleep. Shift work sleep disorder is a condition in which the normal rhythm of sleep is disturbed, often as a result of working at night. Sleep apnea is a condition where sleep is constantly interrupted at night because of pauses in breathing or shallow breathing usually due to obstruction of the upper airway.

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What is the most important information I should know about modafinil (Provigil)?

You should not use this medicine if you have ever had an allergic reaction or skin rash while taking modafinil or armodafinil (Nuvigil).Modafinil can cause skin reactions that may be severe enough to need treatment in a hospital. Stop taking this medicine and get emergency medical help if you have a skin rash or hives, blisters or peeling, mouth sores, trouble breathing or swallowing, fever, swelling in your legs, dark urine, yellowing of your skin or eyes, or swelling in your face. The recommended dose is 200 mg once daily not to exceed 400 mg. It should be administered in the morning for treating narcolepsy or obstructive sleep apnea, and one hour prior to work in those with shift work disorder. It can be taken with or without food. The 400 mg dose may not be more effective than the 200 mg dose.The recommended dose is 200 mg PO once daily as a single dose in the morning. While doses up to 400 mg PO once daily have been well tolerated, there is no consistent evidence that doses greater than 200 mg/day confer additional clinical benefit. Max: 400 mg/day PO. For the geriatric patient, consider use of lower initial doses with close monitoring. For obstructive sleep apnea, modafinil is indicated to improve wakefulness in patients with excessive sleepiness and not as treatment for the underlying obstruction. If continuous positive airway pressure (CPAP) is the treatment of choice for a patient, a maximal effort to treat with CPAP for an adequate period of time should be made prior to initiating modafinil for excessive sleepiness.

How should I take modafinil (Provigil) ?

Modafinil may be habit-forming. Never share modafinil with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it. Selling or giving away modafinil is against the law.
Modafinil is usually taken each morning to prevent daytime sleepiness, or 1 hour before the start of a work shift to treat work-time sleep disorders.
Read all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions.
You may take modafinil with or without food.
Modafinil is usually given for 12 weeks or less.
If you are taking modafinil to treat sleepiness caused by obstructive sleep apnea, you may also be treated with a continuous positive airway pressure (CPAP) machine. This machine is an air pump connected to a mask that gently blows pressurized air into your nose while you sleep. The pump does not breathe for you, but the gentle force of air helps keep your airway open to prevent obstruction.
Do not stop using your CPAP machine during sleep unless your doctor tells you to. The combination of treatment with CPAP and modafinil may be necessary to best treat your condition.
Call your doctor if you continue to have excessive sleepiness even while taking modafinil.
Taking modafinil does not take the place of getting enough sleep.
Store at room temperature away from moisture and heat.
Keep track of the amount of medicine used from each new bottle. Modafinil is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.

What Are the Benefits of Taking Provigil?

People who take Provigil report improved alertness and focus. Unlike amphetamines, which also promote wakefulness but with a side effect of anxiety, Provigil provides a more natural feeling of being awake and alert. People who take Provigil do not do so to get high; very few reports any feelings of euphoria, simply improved cognitive performance at work and study. One further benefit over amphetamines or caffeine is that Provigil promotes wakefulness without a sleep rebound, which is a need for more sleep once the drug wears off. Provigil takes about one to one and a half hours to take effect, with peak blood concentrations occurring between two to four hours after ingestion. With a half life of 12 to 15 hours, Provigil affects the body for a relatively long duration. This means that it takes six to seven and a half hours for half of the drug to be eliminated from your system. Because of this prolonged action, patients are advised to carefully plan when they take the drug, otherwise they may have trouble sleeping. For example, if you are planning to go to bed at around 11pm, it would be best to not take Provigil after lunchtime. This way, you will enjoy the benefits of the medication all day, but it will not interfere with your sleep.