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Il s'agit d'un dГ©rivГ© de la pipГ©razine dГ©veloppГ© par Michel Jouvet et les Laboratoires Lafon (maintenant partie de Sandoz). Le modafinil est approuvГ© par la Food and Drug Administration (FDA) des Г‰tats-Unis pour le traitement de la somnolence diurne excessive associГ©e Г  la narcolepsie et Г  d'autres troubles du sommeil spГ©cifiques. Les effets indГ©sirables les plus frГ©quemment signalГ©s Г©taient les maux de tГЄte, les nausГ©es et la somnolence. Le modafinil bloque la recapture de la sГ©rotonine par la synapse nerveuse, augmentant sa disponibilitГ© dans la fente synaptique, oГ№ il active les mГЄmes voies que la sГ©rotonine. п»їLe modafinil, Г©galement connu sous le nom de 2-[(diphГ©nylmГ©thyl)sulfinyl]-N-Г©thyl-benzГЁneacГ©tamide et Г©thyl-diphГ©nylacГ©tate, est une substance synthГ©tisГ©e pour la premiГЁre fois en 1965 en tant qu'agent potentiel de lutte contre le cancer. Le modafinil a Г©tГ© dГ©veloppГ© Г  l'origine comme un mГ©dicament favorisant l'Г©veil Г  l'usage des personnes souffrant de troubles du sommeil liГ©s au travail postГ©. Les effets secondaires courants peuvent inclure des maux de tГЄte, des troubles du sommeil, des nausГ©es et de la nervositГ©. Nootropique Pharmacie Le N-dГ©sГ©thylamodafinil est actif comme inhibiteur partiel du transporteur de la dopamine in vitro, bien que son efficacitГ© in vivo n'ait pas Г©tГ© dГ©terminГ©e. Le modafinil (nom de marque Provigil) est un mГ©dicament stimulant Г  action brГЁve utilisГ© pour traiter plusieurs troubles du sommeil tels que la narcolepsie et les troubles du sommeil liГ©s au travail postГ©. Cela garantit qu'il est absorbГ© rapidement. Le Dr Smith dit Г  Slate que le modafinil a "Г©tГ© bien testГ© sur les animaux". Il est de plus en plus Г©vident qu'un certain nombre de troubles psychiatriques et neurologiques pourraient ГЄtre traitГ©s avec le modafinil. Environ 25 % sont excrГ©tГ©s sous forme inchangГ©e dans les selles, 20 % par les reins et 25 % par la peau, et 20 % sont mГ©tabolisГ©s dans l'intestin. En 1990, une Г©quipe dirigГ©e par des chercheurs de l'UniversitГ© du Kansas a publiГ© un article dans Dormir faire des revendications similaires. Lorsqu'ils prenaient le modafinil, ils trouvaient plus difficile de rester Г©veillГ©s. Г‰vitez l'alcool pendant que vous prenez du modafinil. Il semble fonctionner en augmentant l'Г©veil, en diminuant la fatigue et en prolongeant le temps de rГ©action. Il est disponible uniquement sur ordonnance aux Г‰tats-Unis. Bien que le modafinil soit lГ©gal dans certains pays Г  des fins de recherche en tant que mГ©dicament amГ©liorant la cognition, il est actuellement interdit dans une grande partie du monde Г  cette fin. Le modafinil est un solide blanc Г  lГ©gГЁrement jaune, sous forme cristalline et amorphe. Le mГ©dicament agit en empГЄchant la recapture de la dopamine et de la noradrГ©naline, provoquant une augmentation de la concentration de ces substances dans la synapse.

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Le modafinil est disponible aux Г‰tats-Unis en tant que mГ©dicament gГ©nГ©rique. Les stimulants du SNC peuvent ГЄtre considГ©rГ©s comme ayant de l'amphГ©tamine et de la cocaГЇne dans leur structure. Il agit principalement sur la partie stimulante du systГЁme de rГ©compense du cerveau, ce qui augmente l'Г©veil et l'intГ©rГЄt pour le comportement. L'Г©nantiomГЁre d est responsable des effets. La plupart des Г©tudes rapportent que 200 mg est la dose efficace. Nootropique Pharmacie Le modafinil est Г©galement disponible en comprimГ©s de 250 mg et 400 mg. Le mГ©canisme exact par lequel il agit est inconnu, mais c'est un stimulant du systГЁme nerveux central, semblable Г  des stimulants comme la cocaГЇne et les amphГ©tamines. La plupart des effets indГ©sirables sont lГ©gers Г  modГ©rГ©s. Le modafinil, comme la plupart des inhibiteurs de la cholinestГ©rase, est Г©liminГ© de l'organisme par l'action inhibitrice de la cholinestГ©rase de l'acГ©tylcholine, qui est libГ©rГ©e dans le cadre de l'action de l'influx nerveux. Ces deux neurotransmetteurs sont responsables de la plupart des types de signalisation cГ©rГ©brale. Le modafinil a Г©tГ© dГ©veloppГ© pour ГЄtre utilisГ© chez les personnes souffrant de troubles de somnolence excessive afin de leur permettre de se livrer Г  des activitГ©s diurnes, bien qu'il se soit Г©galement rГ©vГ©lГ© prometteur pour une utilisation comme mГ©dicament d'amГ©lioration chez les personnes en bonne santГ©. Son utilisation peut ГЄtre plus efficace Г  court terme, car les chercheurs n'ont pas dГ©terminГ© si son utilisation produira des amГ©liorations Г  long terme de la mГ©moire et de la concentration. Il est prescrit pour traiter les problГЁmes de sommeil suffisant, en particulier lorsqu'un patient est endormi pendant de longues pГ©riodes de la journГ©e ou ne semble pas s'endormir la nuit. Il existe Г©galement des suggestions selon lesquelles le modafinil pourrait ГЄtre utile pour traiter la psychose, mais les preuves Г  cet Г©gard ne sont pas claires. Le mГ©dicament est un mГ©dicament dГ©livrГ© uniquement sur ordonnance et sa vente aux Г‰tats-Unis fait l'objet d'un examen minutieux et il est possible qu'il soit reclassГ© aux Г‰tats-Unis d'un mГ©dicament sur ordonnance Г  une substance contrГґlГ©e de l'annexe IV. Le modafinil est disponible sans ordonnance aux Г‰tats-Unis en tant que gГ©nГ©rique de Provigil. En revanche, le modafinil est un stimulant et non une benzodiazГ©pine. Le modafinil est contre-indiquГ© chez les patients atteints de glaucome Г  angle fermГ©, de myasthГ©nie grave et chez ceux qui prennent de la clozapine.

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Le modafinil peut ГЄtre pris avec ou sans nourriture, mais les individus peuvent ressentir un effet plus important et plus perceptible s'ils prennent leurs mГ©dicaments Г  jeun. Des modifications de la posologie pendant la phase de titration du traitement peuvent ГЄtre nГ©cessaires et doivent ГЄtre effectuГ©es lentement et avec l'aide du mГ©decin. La diminution de l'effet inhibiteur sur la production de dopamine dans le cerveau peut Г©galement empГЄcher indirectement le GABA de supprimer la synthГЁse et la libГ©ration de dopamine. Certains des principaux avantages observГ©s chez les personnes souffrant de troubles du sommeil lors de la prise du mГ©dicament sont l'amГ©lioration de la concentration, de la mГ©moire et de l'attention. Des cas de psychose ont Г©tГ© signalГ©s chez des personnes prenant du modafinil, notamment des hallucinations et des dГ©lires. Nootropique Pharmacie Les gГ©lules orales, disponibles sous forme de modafinil Г  200 mg, 400 mg ou 600 mg, sont gГ©nГ©ralement bien tolГ©rГ©es, avec des effets secondaires potentiels tels que nausГ©es, somnolence et maux de tГЄte. Le modafinil se lie aux rГ©cepteurs de la dopamine dans le cerveau. Le modafinil est utilisГ© hors indication aux Г‰tats-Unis depuis 1994 et a Г©galement fait l'objet d'une attention particuliГЁre dans la recherche scientifique et la presse en tant qu'agent potentiel d'amГ©lioration cognitive. Le mГ©dicament est Г©galement utilisГ© pour traiter la somnolence excessive dans la narcolepsie et est utilisГ© hors indication dans des essais cliniques pour amГ©liorer les performances cognitives. Le modafinil est chimiquement identique Г  l'amphГ©tamine, et la recherche a montrГ© que le modafinil est parfois Г©galement appelГ© la "forme mГ©thylГ©e de l'amphГ©tamine, ou amphГ©tamine substituГ©e", bien qu'il ne s'agisse pas d'une amphГ©tamine substituГ©e. Le modafinil peut ГЄtre classГ© comme un mГ©thylphГ©nidate, une amphГ©tamine ou un autre mГ©dicament analogue. Il est Г©galement contre-indiquГ© chez ceux qui prennent des mГ©dicaments qui sont de puissants stimulants. Le mГ©dicament se lie aux rГ©cepteurs de la dopamine (DA), de la sГ©rotonine et de l'histamine. Banich Г  l'hГґpital McLean. Structurellement, il est classГ© comme un Г©ther non cyclique.

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