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En Asie et en Afrique, il est commercialisГ© sous la forme d'une poudre appelГ©e Modafinil Citrate. Il se compose de 150 mg, 300 mg ou 400 mg de l'ingrГ©dient actif modafinil (C8H7NO2 actif). Certaines preuves suggГЁrent que le modafinil peut aider les personnes souffrant de dГ©pression modГ©rГ©e Г  sГ©vГЁre, bien que dans les essais avec moins de 250 personnes, il n'ait pas Г©tГ© possible de dГ©terminer si l'effet est dГ» au modafinil ou Г  la dГ©pression. Le modafinil peut provoquer une lГ©gГЁre augmentation des taux de prolactine chez une minoritГ© de personnes, bien qu'il ne soit pas clair s'il est la cause des effets du traitement. De nombreuses personnes ont pris du Modafinil Г  des fins rГ©crГ©atives, y compris dans le cadre d'une utilisation hors AMM comme activateur de l'Г©veil. Au Canada, le mГ©dicament s'appelle Nuvigil. Modafinil est un mГ©dicament d'ordonnance utilisГ© pour traiter les signes et les symptГґmes de l'apnГ©e du sommeil. Le modafinil est un stimulant du systГЁme nerveux central qui a des effets sur les zones du cerveau impliquГ©es dans le cycle du sommeil. Le modafinil est gГ©nГ©ralement bien tolГ©rГ©, avec des effets secondaires possibles, notamment des maux de tГЄte, des troubles du sommeil et des nausГ©es. Bien que cela ne soit pas considГ©rГ© comme une drogue pouvant faire l'objet d'abus, il existe certaines preuves que la prise de drogue peut rГ©duire les avantages du Modafinil. Le modafinil est un mГ©dicament d'ordonnance. Le modafinil a Г©tГ© approuvГ© par la FDA pour le traitement de la somnolence excessive associГ©e au syndrome d'apnГ©e obstructive du sommeil, en particulier chez les patients souffrant de somnolence rГ©siduelle aprГЁs un traitement par CPAP. Le mГ©dicament est pris une fois par jour au coucher, gГ©nГ©ralement le soir ou tГґt le lendemain matin. Le modafinil est un stimulant non amphГ©tamine qui est un inhibiteur de la recapture de la noradrГ©naline (NE) (NERI). Modiodal Modafinil Son utilisation n'est pas recommandГ©e chez les personnes ayant des antГ©cГ©dents actuels ou antГ©rieurs de schizophrГ©nie ou de trouble bipolaire. Le modafinil est un dГ©rivГ© de la benzazГ©pine substituГ©e, une classe de composГ©s chimiquement similaire aux amphГ©tamines, dans ce cas sa cible est le rГ©cepteur 5-HT2C, bien qu'il ne s'agisse pas d'une amphГ©tamine et qu'il ait un profil pharmacologique diffГ©rent. Certaines personnes utilisent deux pilules Г  la fois (une le matin et une le soir avant de se coucher), et d'autres divisent la dose deux fois le matin. Pour prolonger l'effet, prenez Modafinil lorsque vous vous sentez alerte et bien reposГ©. Les utilisateurs susceptibles de prГ©senter un risque plus Г©levГ© de maladie neurodГ©gГ©nГ©rative, telle que la maladie d'Alzheimer ou la maladie de Parkinson, doivent discuter de l'utilisation du modafinil avec leur mГ©decin. Il agit Г©galement en stimulant directement les rГ©cepteurs de l'orexine dans le cerveau. Il agit en inhibant la recapture de la dopamine, un neurotransmetteur actif dans le systГЁme nerveux central. Le modafinil et les autres stimulants doivent ГЄtre utilisГ©s avec prudence chez les personnes ayant des antГ©cГ©dents de maladie psychiatrique. Dans les Г©tudes animales, il a Г©tГ© dГ©montrГ© que la dose orale la plus Г©levГ©e utilisГ©e reste plus longtemps dans le cerveau et est plus efficace que la dose la plus faible. Le modafinil agit Г©galement comme un agoniste faible des rГ©cepteurs de l'histamine H1 et des rГ©cepteurs de la sГ©rotonine 5-HT2A. Des Г©ruptions cutanГ©es ont Г©tГ© signalГ©es Г  un taux de 1 Г  10 pour 10 000 utilisateurs. Le modafinil peut interfГ©rer avec la fonction normale de la vessie ou des intestins.

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Le modafinil peut augmenter les effets d'autres stimulants du SNC, et on ne sait pas s'il a des effets similaires ou complГ©mentaires Г  ceux de l'utilisation Г  court terme d'amphГ©tamine et de mГ©thamphГ©tamine. Le modafinil est un stimulant du systГЁme nerveux central (SNC) avec une indication non indiquГ©e sur l'Г©tiquette potentielle pour amГ©liorer la fonction cognitive chez les personnes souffrant de privation de sommeil Г  la suite d'un travail postГ©, ou comme traitement d'appoint pour les personnes souffrant de troubles caractГ©risГ©s par une somnolence diurne excessive, comme narcolepsie et apnГ©e obstructive du sommeil. Cette section fournit des informations sur Modafinil, telles que son effet sur le corps, ce qu'il fait et comment il fonctionne. Il est disponible dans le commerce sous les noms Alertec (France), Armodafinil (SuГЁde), Catapres (Allemagne), Cognadil (Allemagne) et Modavia (SuГЁde), entre autres. Le modafinil est un stimulant du SNC, ce qui signifie qu'il agit en agissant sur le cerveau et le systГЁme nerveux central. Il a Г©tГ© approuvГ© aux Г‰tats-Unis en 1998 pour le traitement de la somnolence excessive associГ©e Г  la narcolepsie et Г  l'hypersomnie idiopathique et depuis lors, il a Г©tГ© utilisГ© hors AMM par les consommateurs et les professionnels de la santГ© pour une variГ©tГ© d'autres troubles, notamment les troubles du sommeil liГ©s au travail postГ© et les troubles obstructifs. Il n'est pas clair si l'utilisation pendant la grossesse est sans danger. GГ©nГ©ralement, un comprimГ© entier est pris avant le coucher, bien qu'il puisse ГЄtre divisГ© et pris avec un petit repas si nГ©cessaire. Il est structurellement similaire Г  la phГ©nГ©thylamine et Г  la phГ©nylisopropylamine. Le modafinil est transformГ© Г  partir d'un alcaloГЇde prГ©sent dans les feuilles de la plante mГ©dicinale vinca (Apocynaceae) appelГ©e apovincamine. La dose de modafinil prise pour l'amГ©lioration cognitive ne doit pas dГ©passer 200 mg. En 2010, Adamed a produit et brevetГ© le modafinil et a commencГ© Г  le commercialiser pour l'indication de la somnolence excessive, de la somnolence associГ©e au travail postГ© et de la narcolepsie. Son principal effet secondaire est qu'il peut provoquer de l'insomnie, selon sa notice. Modafinil Europe Le modafinil est fabriquГ© Г  partir d'alkylacГ©toacГ©tates aliphatiques, des esters de la classe gГ©nГ©rique des acides gras. Le modafinil ne corrige pas les personnes souffrant d'un trouble du sommeil liГ© au rythme circadien sous-jacent et, dans une Г©tude, n'a pas amГ©liorГ© les symptГґmes du somnambulisme. Des doses de modafinil de 50 mg Г  200 mg prises une fois par jour, le matin ou le soir, constituent la dose la plus courante. Chaque jour, les patients enregistraient leurs habitudes de sommeil et recevaient un mГ©dicament toutes les heures. Le nom chimique est 2-[(diphГ©nylmГ©thyl)sulfinyl]-1-[2-(4-mГ©thylphГ©nyl)Г©thyl]-1H-benzimidazole (1-isopropyl-2-mГ©thyl-2,8-diazabicyclo[5,4,0] undГ©c-7-ГЁne). Le modafinil a Г©tГ© utilisГ© pour traiter la narcolepsie et les travailleurs postГ©s, bien que la base scientifique de l'utilisation du modafinil ne soit pas claire. Les symptГґmes peuvent inclure une paralysie du sommeil, des rГЄves vifs, une sensibilitГ© accrue Г  la lumiГЁre et au son et une somnolence diurne. Les premiГЁres Г©tudes chez l'homme ont Г©tГ© rГ©alisГ©es par un groupe de l'UniversitГ© de Pennsylvanie. La dose du soir doit ГЄtre infГ©rieure Г  la dose du matin. La substance active du modafinil est le chlorhydrate de R-(-)-2-(diphГ©nylmГ©thyl)-1-phГ©nylpropan-2-amine. Le modafinil amГ©liore Г©galement la rГ©ponse du SNC Г  la dopamine, ce qui peut contribuer Г  l'augmentation de l'Г©veil et de l'Г©veil. Les patients ayant des problГЁmes d'alcool, ceux qui ont des problГЁmes de foie ou qui prennent des mГ©dicaments affectant le foie peuvent avoir un risque accru d'effets secondaires. Le modafinil est interdit en Allemagne, au Japon, en CorГ©e du Sud, en Suisse, en ThaГЇlande et Г  TaГЇwan. C'est un stimulant du SNC qui agit Г©galement pour augmenter la norГ©pinГ©phrine, la dopamine et la sГ©rotonine dans le systГЁme nerveux central. Il est Г©galement conseillГ© aux personnes souffrant de dГ©pression et d'autres problГЁmes de santГ© mentale et aux adolescents prenant des mГ©dicaments pour le TDAH d'utiliser le modafinil avec prudence en raison de son potentiel d'augmentation ou de diminution de ces conditions.

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Il est Г©galement couramment utilisГ© comme traitement des troubles du sommeil liГ©s au travail postГ©, une condition caractГ©risГ©e par une somnolence diurne excessive due Г  des troubles du sommeil qui surviennent Г  la suite d'horaires de travail postГ©s rotatifs. Les formulations et les techniques de livraison varient considГ©rablement d'une pharmacie de prГ©paration Г  l'autre. La quantitГ© de DA inhibГ©e par le modafinil augmente le nombre de neurones induisant l'Г©veil et l'Г©veil dans l'hypothalamus. Cependant, il n'est pas recommandГ© par la FDA pour une utilisation comme activateur cognitif. Le modafinil n'Г©limine pas nГ©cessairement la fatigue ; il n'est pas destinГ© Г  ГЄtre pris comme substitut d'une nuit de sommeil. Le modafinil est Г©galement vendu aux Г‰tats-Unis sous les noms suivants : Provigil, Armodafinil, Modvigil, Provigil 200, Modvigil, Modalert, Cephalon, Cipralex et Modvigil, en association avec l'acГ©tyl L-Tyrosine. Ce mГ©dicament a une gamme d'avantages qui le rend utile dans de nombreuses situations. Le mГ©canisme d'action exact du modafinil est inconnu. Il agit dans le cerveau en augmentant la sГ©rotonine cГ©rГ©brale et en modulant d'autres aspects du systГЁme nerveux central. Le modafinil peut amГ©liorer l'Г©veil en amГ©liorant le signal entre les neurones. Il est utilisГ© pour traiter la somnolence diurne excessive rГ©sultant de l'apnГ©e obstructive du sommeil, des troubles du sommeil liГ©s au travail postГ© et de la narcolepsie. Cependant, les recherches sont insuffisantes pour dГ©terminer si les avantages du mГ©dicament l'emportent sur les risques et les coГ»ts. Modiodal Et contrairement Г  la cafГ©ine, il y a peu de preuves que le modafinil crГ©e une accoutumance. Le modafinil est liГ© au stimulant mГ©thylphГ©nidate et appartient Г  la mГЄme classe de mГ©dicaments que l'amphГ©tamine et la cafГ©ine. Le modafinil est rapidement absorbГ© par le tractus gastro-intestinal et atteint des concentrations plasmatiques maximales en une demi-vie d'environ 3 heures. La dose quotidienne recommandГ©e de modafinil est de 200 Г  600 mg selon l'indication. Il agit dans le cerveau en augmentant la sГ©rotonine cГ©rГ©brale et en modulant d'autres aspects du systГЁme nerveux central. Des Г©tudes ont Г©galement indiquГ© qu'il peut aider Г  restaurer la vigilance chez les personnes atteintes de troubles cognitifs lГ©gers, de dГ©mence et de la maladie de Parkinson. Il est important de commencer par la dose la plus faible possible pour Г©valuer les effets secondaires. Des formulations mГ©dicamenteuses de modafinil pour les travailleurs postГ©s ont Г©tГ© approuvГ©es aux Г‰tats-Unis, en Europe et au Canada. Il peut ГЄtre prescrit par un mГ©decin aux Г‰tats-Unis. Son effet ressemble Г  celui d'autres inhibiteurs de l'IDO tels que le 1-MT, Г  l'exception qu'une plus grande partie du mГ©dicament reste active plus longtemps dans le sang. Il peut Г©galement ГЄtre disponible sous forme de suspension et de sirop. Les effets secondaires rares et graves peuvent inclure des arythmies telles qu'une frГ©quence cardiaque anormale et un allongement de l'intervalle QT, ainsi qu'une ischГ©mie myocardique (cardiopathie ischГ©mique ou arrГЄt cardiaque). Sa formule molГ©culaire est C15H16FN4O et son poids molГ©culaire est de 268,34 (543,45 g/mol).

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Il s'agit d'un mГ©lange racГ©mique synthГ©tique de deux isomГЁres optiques (Г©nantiomГЁres) : un Г©nantiomГЁre R et un mГ©lange racГ©mique des deux isomГЁres de propylhexГ©drine (PR), ®- et (S)-modafinil (R- et S-PR) . Le prestataire doit surveiller les effets du mГ©dicament et ajuster la dose, si nГ©cessaire. Le modafinil est bien tolГ©rГ©. MГЄme ainsi, de nombreuses personnes prenant du modafinil Г©prouvent de la somnolence ou de la sГ©dation pendant les premiГЁres heures d'utilisation. Cette forme peut ГЄtre administrГ©e par voie sous-cutanГ©e. Il a Г©tГ© dГ©montrГ© que le modafinil augmente la monoamine oxydase A (MAOA), une enzyme impliquГ©e dans le mГ©tabolisme de la dopamine. Bien que certaines personnes puissent se sentir plus Г©nergiques aprГЁs l'utilisation de Modafinil et puissent constater que cela augmente leur vigilance, d'autres peuvent ressentir de la somnolence. Le Modafinil-SR a la mГЄme composition chimique que l'Armodafinil SR, avec l'ajout d'Г©dulcorants artificiels pour plus de saveur. L'arrГЄt est recommandГ© dГЁs les premiers signes d'Г©ruption cutanГ©e ou de rГ©actions similaires. Actuellement, le mГ©canisme par lequel on pense que le modafinil favorise l'Г©veil est une augmentation des niveaux de neurotransmetteurs. Le produit chimique est administrГ© sous forme de poudre cristalline blanche ou blanc cassГ© et se prГ©sente sous la forme d'un mГ©lange des stГ©rГ©oisomГЁres L-modafinil et D-modafinil. Modafinil est disponible sous forme de comprimГ©s et de formulation liquide. Modafinil a Г©tГ© dГ©veloppГ© comme traitement pour les personnes souffrant de narcolepsie. Modiodal C'est un antidГ©presseur qui agit comme un booster d'Г©veil. Le modafinil stimule le systГЁme noradrГ©naline, ce qui favorise l'Г©veil. Le modafinil peut ГЄtre mieux pris avant d'aller au lit que lorsque vous essayez de rester Г©veillГ© toute la journГ©e. Modafinil est chimiquement dГ©crit comme 2-[(diphГ©nylmГ©thyl)-sulfinyl]acГ©tamide, 2-[(diphГ©nylmГ©thyl)sulfinyl]acГ©tyl naphtalГЁne-2-ol. Il est toujours recommandГ© de commencer par une faible dose (25 mg) et d'augmenter progressivement de 100 mg deux fois par jour afin de voir s'il y a des effets secondaires. En 1998, il a Г©tГ© approuvГ© aux Г‰tats-Unis comme traitement des troubles du sommeil liГ©s au travail postГ©, et en France, il a Г©galement Г©tГ© utilisГ© pour traiter la toxicomanie. Le modafinil agit Г©galement sur le transporteur de la noradrГ©naline et de la sГ©rotonine. La forme Г  libГ©ration immГ©diate se prГ©sente Г©galement sous la forme d'un comprimГ© Г  libГ©ration retardГ©e, vendu en gГ©lule de 10 mg. En particulier, ceci est mГ©diГ© par l'antagonisme des rГ©cepteurs dopaminergiques D4. Le modafinil est connu pour inhiber le CYP1A2, le CYP2D6, le CYP2B6, le CYP2C8 et le CYP3A4.

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