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Il peut Г©galement ГЄtre prescrit hors indication pour les personnes souffrant d'apnГ©e obstructive du sommeil qui ne rГ©pondent pas au traitement standard de la CPAP ou de la CPAP nasale. L'arrГЄt est recommandГ© dГЁs les premiers signes d'Г©ruption cutanГ©e ou de rГ©actions similaires. Le modafinil est un agoniste inverse partiel du complexe rГ©cepteur GABAA. Il a Г©galement Г©tГ© utilisГ© hors AMM pour amГ©liorer la cognition. La publication du rГ©sumГ© sur cette utilisation en dГ©cembre 2013 a dГ©taillГ© un essai contrГґlГ© randomisГ© (ECR) incluant 70 participants en bonne santГ©. Le modafinil est aussi parfois appelГ© un article de prescription "Г  volontГ©". Commander Modafinil En Ligne La formule molГ©culaire du modafinil est C~26~H~32~N~2~O. Il peut aider les patients atteints de narcolepsie, de troubles du sommeil liГ©s au travail postГ© et d'apnГ©e obstructive du sommeil grГўce Г  ses effets sur un certain nombre de neurotransmetteurs dans le cerveau, mais son mГ©canisme d'action exact est inconnu. Le modafinil est mГ©tabolisГ© Г  95 % par le foie. Le mГ©canisme d'action du modafinil est inconnu. Un Г©nantiomГЁre ne peut traverser la barriГЁre hГ©mato-encГ©phalique que lorsqu'un autre Г©nantiomГЁre la bloque, formant un mГ©lange racГ©mique un Г  un. Le modafinil ne semble pas augmenter le risque d'accident. Le modafinil est un inhibiteur de l'acide mГ©thylphГ©nylcГ©tonurique (MPKA) ou un composГ© qui interfГЁre avec le mГ©tabolisme de la dopamine en MPKA. Il est plus efficace lorsqu'il est pris au moins deux heures avant un projet, car 30 minutes avant peuvent apporter peu d'avantages. Il semble influencer le locus coeruleus (LC) et le noyau du raphГ© dorsal (DRN), qui rГ©gulent respectivement la libГ©ration de noradrГ©naline et de sГ©rotonine. La plupart des donnГ©es proviennent d'enquГЄtes. Le modafinil a Г©tГ© recommandГ© comme thГ©rapie d'essai pour l'amГ©lioration cognitive lorsque les autres thГ©rapies ne sont pas efficaces.

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L'efficacitГ© du modafinil pour ceux qui ont seulement besoin de maintenir leur vigilance a Г©tГ© Г©valuГ©e dans un essai randomisГ© en simple aveugle contre placebo. Chez les adultes, le modafinil est approuvГ© par la FDA pour le traitement de l'EDS associГ© Г  la narcolepsie, et est Г©galement approuvГ© par la FDA pour le traitement de l'EDS associГ© au trouble du sommeil du travail postГ© (SWEDS), Г  l'apnГ©e obstructive du sommeil (OSA) et Г  d'autres conditions. C'est un mГ©lange racГ©mique de deux Г©nantiomГЁres, le dextro- et le lГ©vo-modafinil. Cela permet au mГ©dicament de rГ©duire le nombre de minutes nГ©cessaires Г  l'endormissement. C'est un inhibiteur sГ©lectif de la recapture de la sГ©rotonine au niveau de la synapse du SNC. L'adamantane est une classe de composГ©s qui comprend l'amantadine. Cependant, le modafinil a une fenГЄtre thГ©rapeutique trГЁs Г©troite et il n'existe pas suffisamment de preuves pour recommander que les gens prennent le mГ©dicament pour amГ©liorer les capacitГ©s d'apprentissage, mieux rГ©ussir les tests ou pour amГ©liorer la concentration et la concentration. Commander Modafinil En Ligne Il a Г©tГ© disponible pour la premiГЁre fois sur ordonnance aux Г‰tats-Unis en 1994, oГ№ il est approuvГ© pour le traitement de la narcolepsie, des troubles du sommeil liГ©s au travail postГ© et de l'apnГ©e obstructive du sommeil. En consГ©quence, il semble ГЄtre trГЁs efficace dans sa capacitГ© Г  amГ©liorer l'attention et la vigilance, ainsi qu'Г  amГ©liorer la mГ©moire et la motivation. Aux Г‰tats-Unis, la notice dГ©conseille de prendre le mГ©dicament avec de l'alcool et contient un avertissement de ne pas le prendre plus de 40 heures. On ne sait pas si le modafinil a un effet sur les niveaux de rГ©cepteurs de l'adГ©nosine. Le modafinil peut ГЄtre davantage purifiГ© par recristallisation dans l'Г©thanol absolu. Le modafinil est utilisГ© dans le traitement des travailleurs postГ©s Г  long terme qui souffrent de troubles du sommeil liГ©s au travail postГ©, une condition qui peut provoquer une somnolence diurne excessive et entraГ®ner une altГ©ration significative des performances des travailleurs postГ©s. Un ou plusieurs facteurs affectant les performances du modafinil comprennent : Les stimulants du SNC agissent en agissant sur le cerveau et le systГЁme nerveux pГ©riphГ©rique. Il a ensuite Г©tГ© Г©tudiГ© plus avant pour une utilisation en tant que mГ©dicament favorisant l'Г©veil pour le traitement de la somnolence excessive chez les patients atteints de narcolepsie et de troubles du sommeil liГ©s au travail postГ©. Les formes les plus couramment disponibles sont un comprimГ© de 200 mg qui prend environ une demi-heure pour faire effet et une solution de 200 mg qui prend une heure complГЁte. Il a Г©galement Г©tГ© dГ©montrГ© que le modafinil augmente les niveaux de sГ©rotonine et de noradrГ©naline. Il ne doit pas ГЄtre administrГ© aux patients utilisant des inducteurs du CYP3A4 (par exemple la rifampicine) ou des inhibiteurs du CYP2D6 ou du CYP2C19, Г  moins que le patient ne soit Г©troitement surveillГ© pour la survenue d'effets indГ©sirables. Le modafinil stimule l'Г©veil. Le modafinil agit en amГ©liorant la fonction de l'acГ©tylcholine dans le cerveau.

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