Modafinil: Difference between revisions

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'''Modafinil''' (also known by the brand names '''Provigil''', '''Alertec''', '''Modavigil''', and others) is a [[psychoactive class::eugeroic]] substance of the [[chemical class::benzhydryl]] class that produces [[wakefulness|wakefulness-promoting]] and [[stimulant]] effects when [[administered]]. It is commonly used to enhance cognition, reduce fatigue, and increase alertness in both medical and non-medical contexts.
'''Modafinil''' (also known by the brand names '''Provigil''', '''Alertec''', '''Modavigil''', and others) is a [[psychoactive class::eugeroic]] substance of the [[chemical class::benzhydryl]] class that produces [[wakefulness|wakefulness-promoting]] and [[stimulant]] effects when [[administered]]. It is commonly used to enhance cognition, reduce fatigue, and increase alertness in both medical and non-medical contexts.


Modafinil is approved by the U.S. Food and Drug Administration for the treatment of obstructive sleep apnea, shift work sleep disorder and narcolepsy.<ref>Provigal (Manufacturer's Website) | http://www.provigil.com/</ref> However, studies have shown that modafinil may also be useful off-label for alleviating the symptoms of depression,<ref>{{cite journal | vauthors=((Fava, M.)), ((Thase, M. E.)), ((DeBattista, C.)), ((Doghramji, K.)), ((Arora, S.)), ((Hughes, R. J.)) | journal=Annals of Clinical Psychiatry: Official Journal of the American Academy of Clinical Psychiatrists | title=Modafinil augmentation of selective serotonin reuptake inhibitor therapy in MDD partial responders with persistent fatigue and sleepiness | volume=19 | issue=3 | pages=153–159 | date= September 2007 | issn=1040-1237 | doi=10.1080/10401230701464858}}</ref>, bipolar disorder,<ref>{{cite journal | vauthors=((Frye, M. A.)), ((Grunze, H.)), ((Suppes, T.)), ((McElroy, S. L.)), ((Keck, P. E.)), ((Walden, J.)), ((Leverich, G. S.)), ((Altshuler, L. L.)), ((Nakelsky, S.)), ((Hwang, S.)), ((Mintz, J.)), ((Post, R. M.)) | journal=The American Journal of Psychiatry | title=A placebo-controlled evaluation of adjunctive modafinil in the treatment of bipolar depression | volume=164 | issue=8 | pages=1242–1249 | date= August 2007 | issn=0002-953X | doi=10.1176/appi.ajp.2007.06060981}}</ref> Parkinson's disease,<ref>{{cite journal | vauthors=((Vliet, S. A. M. van)), ((Vanwersch, R. A. P.)), ((Jongsma, M. J.)), ((Gugten, J. van der)), ((Olivier, B.)), ((Philippens, I. H. C. H. M.)) | journal=Behavioural Pharmacology | title=Neuroprotective effects of modafinil in a marmoset Parkinson model: behavioral and neurochemical aspects | volume=17 | issue=5–6 | pages=453–462 | date= September 2006 | issn=0955-8810 | doi=10.1097/00008877-200609000-00011}}</ref> seasonal depressive disorder,<ref>{{cite journal | vauthors=((Lundt, L.)) | journal=Journal of Affective Disorders | title=Modafinil treatment in patients with seasonal affective disorder/winter depression: an open-label pilot study | volume=81 | issue=2 | pages=173–178 | date= August 2004 | issn=0165-0327 | doi=10.1016/S0165-0327(03)00162-9}}</ref> ADHD,<ref>{{cite journal | vauthors=((Biederman, J.)), ((Pliszka, S. R.)) | journal=The Journal of Pediatrics | title=Modafinil improves symptoms of attention-deficit/hyperactivity disorder across subtypes in children and adolescents | volume=152 | issue=3 | pages=394–399 | date= March 2008 | issn=1097-6833 | doi=10.1016/j.jpeds.2007.07.052}}</ref> and various other conditions which have fatigue as a symptom.  
Modafinil is approved by the U.S. Food and Drug Administration for the treatment of obstructive sleep apnea, shift work sleep disorder and narcolepsy.<ref>Provigal (Manufacturer's Website) | http://www.provigil.com/</ref> However, studies have shown that modafinil may also be useful off-label for alleviating the symptoms of depression,<ref>{{cite journal | vauthors=((Fava, M.)), ((Thase, M. E.)), ((DeBattista, C.)), ((Doghramji, K.)), ((Arora, S.)), ((Hughes, R. J.)) | journal=Annals of Clinical Psychiatry: Official Journal of the American Academy of Clinical Psychiatrists | title=Modafinil augmentation of selective serotonin reuptake inhibitor therapy in MDD partial responders with persistent fatigue and sleepiness | volume=19 | issue=3 | pages=153–159 | date= September 2007 | issn=1040-1237 | doi=10.1080/10401230701464858}}</ref> bipolar disorder,<ref>{{cite journal | vauthors=((Frye, M. A.)), ((Grunze, H.)), ((Suppes, T.)), ((McElroy, S. L.)), ((Keck, P. E.)), ((Walden, J.)), ((Leverich, G. S.)), ((Altshuler, L. L.)), ((Nakelsky, S.)), ((Hwang, S.)), ((Mintz, J.)), ((Post, R. M.)) | journal=The American Journal of Psychiatry | title=A placebo-controlled evaluation of adjunctive modafinil in the treatment of bipolar depression | volume=164 | issue=8 | pages=1242–1249 | date= August 2007 | issn=0002-953X | doi=10.1176/appi.ajp.2007.06060981}}</ref> Parkinson's disease,<ref>{{cite journal | vauthors=((Vliet, S. A. M. van)), ((Vanwersch, R. A. P.)), ((Jongsma, M. J.)), ((Gugten, J. van der)), ((Olivier, B.)), ((Philippens, I. H. C. H. M.)) | journal=Behavioural Pharmacology | title=Neuroprotective effects of modafinil in a marmoset Parkinson model: behavioral and neurochemical aspects | volume=17 | issue=5–6 | pages=453–462 | date= September 2006 | issn=0955-8810 | doi=10.1097/00008877-200609000-00011}}</ref> seasonal depressive disorder,<ref>{{cite journal | vauthors=((Lundt, L.)) | journal=Journal of Affective Disorders | title=Modafinil treatment in patients with seasonal affective disorder/winter depression: an open-label pilot study | volume=81 | issue=2 | pages=173–178 | date= August 2004 | issn=0165-0327 | doi=10.1016/S0165-0327(03)00162-9}}</ref> ADHD,<ref>{{cite journal | vauthors=((Biederman, J.)), ((Pliszka, S. R.)) | journal=The Journal of Pediatrics | title=Modafinil improves symptoms of attention-deficit/hyperactivity disorder across subtypes in children and adolescents | volume=152 | issue=3 | pages=394–399 | date= March 2008 | issn=1097-6833 | doi=10.1016/j.jpeds.2007.07.052}}</ref> and various other conditions which have fatigue as a symptom.  


Modafinil has also been used as a doping agent by various athletes due to its ability to produce [[Stimulation|physical stimulation]].<ref>https://www.cyclingnews.com/news/clinger-given-two-year-suspension-for-doping</ref><ref>https://web.archive.org/web/20120122061356/http://sportsillustrated.cnn.com/2006/baseball/mlb/03/06/news.excerpt/1.html</ref><ref>https://journals.lww.com/acsm-msse/fulltext/2004/06000/effects_of_acute_modafinil_ingestion_on_exercise.23.aspx</ref> It has recently gained mainstream popularity for its use as a [[nootropic|"smart drug"]] to [[Memory enhancement|improve memory]], counteract the desire or need for sleep, and increase general productivity.<ref>Schifano F, Catalani V, Sharif S, et al. Benefits and Harms of 'Smart Drugs' (Nootropics) in Healthy Individuals [published correction appears in Drugs. 2022 Apr 27;:]. ''Drugs''. 2022;82(6):633-647. doi:10.1007/s40265-022-01701-7</ref>
Modafinil has also been used as a doping agent by various athletes due to its ability to produce [[Stimulation|physical stimulation]].<ref>https://www.cyclingnews.com/news/clinger-given-two-year-suspension-for-doping</ref><ref>https://web.archive.org/web/20120122061356/http://sportsillustrated.cnn.com/2006/baseball/mlb/03/06/news.excerpt/1.html</ref><ref>https://journals.lww.com/acsm-msse/fulltext/2004/06000/effects_of_acute_modafinil_ingestion_on_exercise.23.aspx</ref> It has recently gained mainstream popularity for its use as a [[nootropic|"smart drug"]] to [[Memory enhancement|improve memory]], counteract the desire or need for sleep, and increase general productivity.<ref>https://pubmed.ncbi.nlm.nih.gov/34632515</ref>


==History and culture==
==History and culture==
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Modafinil is legally approved for medical purposes worldwide. However, it is illegal to sell and possess in most countries without a prescription.  
Modafinil is legally approved for medical purposes worldwide. However, it is illegal to sell and possess in most countries without a prescription.  


*'''Australia:''' Modafinil is listed as a Schedule 4 (prescription only) drug in Australia and it can be prescribed sleep apnea and narcolepsy.<ref>{{Citation | title=Modafinil | url=https://en.wikipedia.org/w/index.php?title=Modafinil&oldid=1100020692}}</ref>
*'''Australia:''' Modafinil is listed as a Schedule 4 (prescription only) drug in Australia and it can be prescribed for sleep apnea and narcolepsy.<ref>{{Citation | title=Modafinil | url=https://en.wikipedia.org/w/index.php?title=Modafinil&oldid=1100020692}}</ref>
*'''Austria:''' Modafinila is classed as NR (prescription only, repeated dispense prohibited) <ref>Rezeptverordnung | https://www.ris.bka.gv.at/GeltendeFassung.wxe?Abfrage=Bundesnormen&Gesetzesnummer=10010358</ref>
*'''Austria:''' Modafinil is classed as NR (prescription only, repeated dispense prohibited) <ref>Rezeptverordnung | https://www.ris.bka.gv.at/GeltendeFassung.wxe?Abfrage=Bundesnormen&Gesetzesnummer=10010358</ref>
*'''Canada:''' Modafinil is listed as a Schedule F prescription drug in Canada and can be prescribed for human and veterinary use.<ref>National Association of Pharmacy Regulatory Authorities - Regulations Amending the Food and Drug Regulations (1184 — Modafinil) | http://napra.ca/Content_Files/Files/FDR-Project1184-Modafinil-Oct122006.pdf</ref>
*'''Canada:''' Modafinil is listed as a Schedule F prescription drug in Canada and can be prescribed for human and veterinary use.<ref>National Association of Pharmacy Regulatory Authorities - Regulations Amending the Food and Drug Regulations (1184 — Modafinil) | http://napra.ca/Content_Files/Files/FDR-Project1184-Modafinil-Oct122006.pdf</ref>
*'''Germany:''' Modafinil is a prescription medicine, according to Anlage 1 AMVV.<ref>{{Citation | title=AMVV - Verordnung über die Verschreibungspflicht von Arzneimitteln | url=https://www.gesetze-im-internet.de/amvv/BJNR363210005.html}}</ref>
*'''Germany:''' Modafinil is a prescription medicine, according to Anlage 1 AMVV.<ref>{{Citation | title=AMVV - Verordnung über die Verschreibungspflicht von Arzneimitteln | url=https://www.gesetze-im-internet.de/amvv/BJNR363210005.html}}</ref>
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*[http://en.wikipedia.org/wiki/Modafinil Modafinil (Wikipedia)]
*[http://en.wikipedia.org/wiki/Modafinil Modafinil (Wikipedia)]
*[https://www.erowid.org/smarts/modafinil/ Modafinil (Erowid Vault)]
*[https://www.erowid.org/smarts/modafinil/ Modafinil (Erowid Vault)]
*[https://isomerdesign.com/PiHKAL/explore.php?id=2978 Modafinil (Isomer Design)]
*[https://go.drugbank.com/drugs/DB00745 Modafinil (DrugBank)]
*[https://drugs-forum.com/wiki/Modafinil Modafinil (Drugs-Forum)]
*[https://drugs-forum.com/wiki/Modafinil Modafinil (Drugs-Forum)]
*[https://go.drugbank.com/drugs/DB00745 Modafinil (DrugBank Online)]
 
*[https://isomerdesign.com/PiHKAL/explore.php?id=2978 Modafinil (Isomer Design)]


==References==
==References==