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Article: Modafinil in the treatment of excessive daytime sleepiness.

Valentino, Roxanne M / Foldvary-Schaefer, Nancy

Cleveland Clinic journal of medicine

2007  Volume 74, Issue 8, Page(s) 561–6, 568–71

Abstract: Modafinil (Provigil) is approved for treating excessive daytime sleepiness associated with narcolepsy, for shift-work sleep disorder, and as an adjunctive treatment in patients with obstructive sleep apnea syndrome who have residual daytime sleepiness ... ...

Abstract Modafinil (Provigil) is approved for treating excessive daytime sleepiness associated with narcolepsy, for shift-work sleep disorder, and as an adjunctive treatment in patients with obstructive sleep apnea syndrome who have residual daytime sleepiness despite optimal treatment with continuous positive airway pressure. Although modafinil improves measures of sleepiness, it does not generally normalize them, and it may be less effective than other stimulants for some narcoleptic patients. We need head-to-head comparisons of modafinil with traditional stimulants in humans to better define its role. We review the current approved and off-label uses of this drug and the evidence behind them.
MeSH term(s) Attention Deficit Disorder with Hyperactivity/drug therapy ; Benzhydryl Compounds/adverse effects ; Benzhydryl Compounds/pharmacology ; Benzhydryl Compounds/therapeutic use ; Central Nervous System Stimulants/adverse effects ; Central Nervous System Stimulants/pharmacology ; Central Nervous System Stimulants/therapeutic use ; Continuous Positive Airway Pressure ; Disorders of Excessive Somnolence ; Drug Interactions ; Humans ; Modafinil ; Multiple Sclerosis/drug therapy ; Narcolepsy/drug therapy ; Parkinson Disease/drug therapy ; Sleep Apnea, Obstructive/drug therapy
Chemical Substances Benzhydryl Compounds ; Central Nervous System Stimulants ; Modafinil (R3UK8X3U3D)
Language English
Publishing date 2007-08-10
Publishing country United States
Document type Journal Article ; Review
ZDB-ID 639116-3
ISSN 0891-1150
ISSN 0891-1150
DOI 10.3949/ccjm.74.8.561
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