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Problems associated with switch to modafinil - a novel alerting agent in narcolepsy.

AbstractModafinil is a novel medication recently approved for the treatment of narcolepsy and idiopathic hypersomnia. Commonly, patients had already been prescribed medications for their syndrome. This report outlines difficulties encountered in the clinical practice of switching patients to modafinil. Naïve subjects accepted modafinil best. Subjects withdrawn from amphetamine had the most problems and failure to withdraw. Venlafaxine hydrochloride combined well with modafinil to control cataplectic attacks. Usage of a progressive withdrawal protocol may ease the difficulties observed.
AuthorsC Guilleminault, F A Aftab, D Karadeniz, P Philip, D Leger (Affiliation: Stanford Sleep Disorders Clinic and Research Center, CA 94605, USA. c.guil at leland.stanford.edu)
JournalEuropean journal of neurology : the official journal of the European Federation of Neurological Societies (Eur J Neurol) Vol. 7 Issue 4 Pg. 381-4 (Jul 2000) ISSN: 1351-5101 ENGLAND
PMID10971596 (Publication Type: Clinical Trial, Journal Article)
Chemical References
  • Amphetamines
  • Benzhydryl Compounds
  • Central Nervous System Stimulants
  • Drug Combinations
  • modafinil
Topics
  • Adult
  • Aged
  • Amphetamines (administration & dosage, adverse effects)
  • Benzhydryl Compounds (administration & dosage, adverse effects)
  • Central Nervous System Stimulants (administration & dosage, adverse effects)
  • Drug Combinations
  • Drug Interactions (physiology)
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Narcolepsy (drug therapy, physiopathology)
  • Treatment Outcome
  • Wakefulness (drug effects, physiology)