Modafinil is a stimulant drug marketed as a 'wakefulness promoting agent' and is one of the stimulants used in the treatment of narcolepsy. Narcolepsy is caused by dysfunction of a family of wakefulness-promoting and sleep-suppressing peptides, the orexins, whose neurons are activated by modafinil. The prexin neuron activation is associated with psychoactivation and euphoria. The exact mechanism of action is unclear, although in vitro studies have shown it to inhibit the reuptake of dopamine by binding to the dopamine reuptake pump, and lead to an increase in extracellular dopamine. Modafinil activates glutamatergic circuits while inhibiting GABA.
To improve wakefulness in patients with excessive daytime sleepiness (EDS) associated with narcolepsy.
VA Healthcare System, Department of Psychiatry, San Diego, California, United States
CPMC - St. Luke's Hospital ~ 7th Floor/ Addiction Pharmacology Research Lab, San Francisco, California, United States
Powell Chemical Dependency Center, Des Moines, Iowa, United States
Matrix Institute on Addictions, Tarzana, California, United States
University of Colorado Health Sciences Center, Denver, Colorado, United States
Kessler Medical Rehabilitation Research & Education Corporation, West Orange, New Jersey, United States
UCLA Vine Street Clinic, Hollywood, California, United States
University of Texas Medical School- Houston, Dept. of Psychiatry Mental Sciences Institute, Houston, Texas, United States
University of California Los Angeles School of Medicine, Los Angeles, California, United States
U.T.M.D. Anderson Cancer Center, Houston, Texas, United States
Philadelphia, OPC, Philadelphia, Pennsylvania, United States
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