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Indications

REMS


Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

CV: arrhythmias, chest pain, hypertension, hypotension, syncope

Derm: dry skin, rash, STEVENS-JOHNSON SYNDROME (SJS)

EENT: rhinitis, abnormal vision, amblyopia, epistaxis, pharyngitis

Endo: hyperglycemia

F and E: thirst

GI: liver enzymes, nausea, anorexia, diarrhea, gingivitis, mouth ulcers, vomiting

GU: abnormal ejaculation, albuminuria, urinary retention

Hemat: eosinophilia

MS: joint disorder, neck pain

Neuro: headache, aggression, amnesia, anxiety, ataxia, cataplexy, confusion, delusions, depression, dizziness, dyskinesia, hallucinations, hypertonia, insomnia, mania, paresthesia, SEIZURES, SUICIDAL IDEATION, tremor

Resp: dyspnea

Misc: HYPERSENSITIVITY REACTIONS (INCLUDING ANAPHYLAXIS AND ANGIOEDEMA), infection

Interactions

Drug-drug:

Drug-Natural Products:

Availability

(Generic available)

Route/Dosage

Hepatic Impairment

US Brand Names

Provigil

Action

  • Produces CNS stimulation.
Therapeutic effects:
  • Decreased daytime drowsiness in patients with narcolepsy and obstructive sleep apnea.
  • Decreased drowsiness during work in patients with shift work sleep disorder.

Classifications

Therapeutic Classification: central nervous system stimulants

Pharmacokinetics

Absorption: Rapidly absorbed; bioavailability unknown.

Distribution: Well distributed to tissues.

Metabolism/Excretion: Highly (90%) metabolized by the liver; <10% eliminated unchanged in the urine.

Half-Life: 15 hr.

Contr. Subst. Schedule

Schedule IV (C-IV)

Canadian Brand Names

Alertec

Time/Action Profile

(plasma concentrations)

ROUTEONSETPEAKDURATION
POrapid2–4 hr24 hr

Patient/Family Teaching

Pronunciation

mo-DAF-i-nil

Code

NDC Code