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DГ©veloppГ© par la suite par les Laboratoires Lafon, le Modafinil a Г©tГ© dГ©veloppГ© dans les annГ©es 1970. Le modafinil est mГ©tabolisГ© par le foie. Le modafinil (Provigil) est un mГ©dicament d'ordonnance qui contient un mГ©lange de deux substances mГ©dicamenteuses. Aucun des participants Г  l'Г©tude n'a signalГ© d'effets secondaires significatifs du modafinil. Le modafinil se prГ©sente sous forme de comprimГ©s et est destinГ© Г  ГЄtre pris le matin pour amГ©liorer la concentration et la concentration. Une dose de 150 mg Г©quivaut Г  5 mg de cafГ©ine stimulante et une dose de 100 mg n'est que lГ©gГЁrement infГ©rieure Г  celle du mГ©thylphГ©nidate. Le mГ©dicament a Г©tГ© utilisГ© pour amГ©liorer l'apprentissage et l'attention chez les personnes atteintes de trouble d'hyperactivitГ© avec dГ©ficit de l'attention et, paradoxalement, permet de dormir plus par quarts pour protГ©ger le corps des longues heures de travail qu'implique le travail par quarts. Il n'est structurellement identique Г  aucun des neurotransmetteurs endogГЁnes dopamine ou sГ©rotonine, et on pense qu'il partage ses effets dans le SNC en interagissant avec des protГ©ines impliquГ©es dans les systГЁmes endogГЁnes de dopamine et de sГ©rotonine du cerveau. Bien que la recherche sur le modafinil pour l'amГ©lioration cognitive ne soit pas concluante, certaines Г©tudes animales suggГЁrent qu'il pourrait fonctionner en augmentant le niveau d'histamine et de noradrГ©naline dans le cerveau, tout en bloquant directement les sites de recapture de la dopamine. Certaines recherches indiquent qu'il n'a pas Г©tГ© prouvГ© que la cafГ©ine a des avantages neuroprotecteurs (c'est-Г -dire qu'elle aide Г  prГ©venir les maladies ou les lГ©sions cГ©rГ©brales) ou qu'elle augmente les performances cognitives ou d'apprentissage, bien qu'il existe certaines preuves que la cafГ©ine et d'autres stimulants peuvent rГ©duire le risque de dГ©pression. Il s'agit d'un mГ©dicament dГ©livrГ© uniquement sur ordonnance qui est gГ©nГ©ralement vendu sans ordonnance aux Г‰tats-Unis. De grands fournisseurs comme l'Inde et la Chine l'importent encore. Cela garantit qu'il est absorbГ© rapidement. Nootropique Pharmacie п»їLe modafinil est le nom de marque du mГ©dicament, l'ingrГ©dient actif N-[(diphГ©nylmГ©thyl)-1H-indol-3-yl]-N-mГ©thyl-carbamate, une forme posologique Г  libГ©ration prolongГ©e (SR). Le modafinil active l'Г©veil en partie en se liant aux rГ©cepteurs androgГЁnes du SNC, ce qui entraГ®ne une augmentation de l'activitГ© de la noradrГ©naline et de la dopamine. HHS Act : avant son approbation pour un usage mГ©dical, les Г‰tats-UnisLa Food and Drug Administration (FDA) a approuvГ© l'utilisation du modafinil dans le traitement de la somnolence diurne excessive associГ©e Г  la narcolepsie, aux troubles du sommeil liГ©s au travail postГ© et Г  l'apnГ©e obstructive du sommeil. Le modafinil est un mГ©tabolite actif du dexmГ©thylphГ©nidate, un stimulant du systГЁme nerveux central agissant comme un inhibiteur de la recapture de la dopamine. Le modafinil peut interagir avec d'autres mГ©dicaments et mГ©dicaments. Il a Г©galement Г©tГ© signalГ© comme Г©tant efficace dans le traitement de l'alcoolisme et de la maladie de Parkinson. Il a Г©tГ© approuvГ© pour une utilisation aux Г‰tats-Unis en 1998. Le modafinil peut Г©galement rГ©duire une partie de la cataplexie qui est un symptГґme de la narcolepsie. Le modafinil est aussi parfois appelГ© inhibiteur sГ©lectif de la recapture de la sГ©rotonine, ou ISRS. La formulation originale de Modafinil, Ritalin-SR, a un dГ©but d'action rapide (moins d'une heure) et est prise cinq fois par jour. Le modafinil est devenu disponible en dehors des Г‰tats-Unis Г  la fin des annГ©es 1990, sans aucune rГ©fГ©rence Г  l'isomГЁre d dans l'Г©tiquetage. En plus de stimuler le systГЁme nerveux central, le modafinil peut ГЄtre utile dans le traitement de l'apnГ©e du sommeil. La cafГ©ine agit en bloquant les rГ©cepteurs de l'adГ©nosine dans le cerveau, ce qui dГ©clenche l'Г©veil. Le modafinil est Г©galement approuvГ© pour une utilisation en Europe en tant que traitement pour l'amГ©lioration des performances cognitives chez les personnes souffrant de problГЁmes liГ©s au sommeil. Cela peut prendre une Г  cinq semaines pour dГ©velopper tous les effets.

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Plusieurs bases de donnГ©es britanniques sur la santГ© peuvent ГЄtre utilisГ©es pour suivre l'utilisation du modafinil. Le modafinil est un mГ©dicament stimulant similaire Г  l'Adderall et au mГ©thylphГ©nidate, mais avec moins d'effets secondaires. Sur le marchГ©, il est vendu sous la marque Provigil. Le traitement peut ГЄtre poursuivi indГ©finiment chez les personnes qui atteignent l'efficacitГ© et n'ont pas d'Г©vГ©nements indГ©sirables. Alors que des Г©tudes ont suggГ©rГ© que des doses de 600 mg de modafinil pourraient ГЄtre nГ©cessaires pour les personnes qui le prennent comme stimulant cognitif, les professionnels de la santГ© prescrivent gГ©nГ©ralement une dose initiale de 150 mg par jour et l'augmentent au besoin. Cela explique sa caractГ©ristique d'amГ©liorer la somnolence avec moins de somnolence initiale lorsqu'il est pris. Le modafinil diffГЁre des autres agents favorisant l'Г©veil car il a un effet plus prononcГ© sur la rГ©gion favorisant l'Г©veil du cortex cГ©rГ©bral (zone 14) que sur les rГ©gions inhibitrices de l'Г©veil (zones 6 et 8). L'arrГЄt est recommandГ© dГЁs les premiers signes d'Г©ruption cutanГ©e ou de rГ©actions similaires. On estimait en 2017 que 3,5 millions de personnes aux Г‰tats-Unis Г©taient traitГ©es avec du modafinil pour une somnolence diurne excessive. Aux Г‰tats-Unis, le modafinil a Г©tГ© utilisГ© hors AMM comme un prГ©tendu activateur cognitif pour amГ©liorer l'Г©veil dans des Г©tudes animales et humaines, bien que la recherche sur son efficacitГ© pour cette utilisation ne soit pas concluante. Nootropique Pharmacie Il est considГ©rГ© comme un substitut possible du Ritalin et d'autres mГ©dicaments stimulants. Des essais cliniques rГ©alisГ©s aux Г‰tats-Unis ont rГ©vГ©lГ© que le modafinil avait Г©galement un effet positif sur l'apnГ©e du sommeil (Nalin M, et al. Ceux qui prennent du modafinil pour la narcolepsie doivent gГ©nГ©ralement le prendre quotidiennement, en doses fractionnГ©es. La Food and Drug Administration (FDA) des Г‰tats-Unis a approuvГ© le Modafinil en Europe en 1994 et aux Г‰tats-Unis en 1998. Le modafinil est vendu sous forme de pastille blanche Г  blanc cassГ© ou de comprimГ© cristallin d'une Г©paisseur d'environ 0,65 Г  0,95 millimГЁtre et d'un poids estimГ© d'environ 0,20 Г  0,29 gramme. Il peut Г©galement agir comme un antagoniste partiel des rГ©cepteurs de la sГ©rotonine 5-HT2A et 5-HT2C. Le modafinil est gГ©nГ©ralement pris Г  des doses de 50 Г  400 mg par voie orale, bien qu'il puisse ГЄtre pris sous forme de comprimГ© Г  libГ©ration instantanГ©e. Le modafinil a Г©tГ© utilisГ© hors indication pour d'autres troubles du sommeil et de l'Г©veil diurne, tels que le somnambulisme et les troubles du rythme circadien. Ils ont trouvГ© plus facile de rester Г©veillГ©s lorsqu'ils prenaient du modafinil. La majoritГ© des recherches sur l'utilisation du modafinil chez l'homme ont portГ© sur des personnes qui travaillent par quarts, celles qui souffrent d'apnГ©e obstructive du sommeil et celles qui souffrent de narcolepsie. Les effets pharmacologiques du modafinil ont Г©tГ© Г©tudiГ©s chez l'animal et chez l'homme. Alors qu'il a Г©tГ© testГ© Г  l'origine pour le traitement de la narcolepsie, il est maintenant prescrit pour traiter diverses affections telles que les troubles du sommeil liГ©s au travail postГ© et la somnolence due Г  l'apnГ©e obstructive du sommeil.

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