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Le modafinil est pris par voie orale, gГ©nГ©ralement au coucher. Il est utilisГ© pour traiter la somnolence excessive chez les travailleurs postГ©s lorsqu'ils ne peuvent pas faire de sieste rГ©guliГЁre. Le modafinil a Г©tГ© Г©tudiГ© comme traitement potentiel de la maladie d'Alzheimer dans les premiГЁres recherches sur le mГ©dicament. Le modafinil est plus actif en tant que mГ©lange racГ©mique, bien que les stГ©rГ©oisomГЁres distincts soient diffГ©renciГ©s Г l'aide de techniques telles que la chromatographie liquide Г haute performance. Les doses pour certaines personnes peuvent devoir ГЄtre ajustГ©es pour Г©viter les effets secondaires potentiels, tels que l'insomnie, les Г©tourdissements et les troubles du sommeil. Le modafinil n'est pas approuvГ© aux Г‰tats-Unis pour une utilisation chez les personnes en bonne santГ©, mais il est largement utilisГ© comme activateur cognitif. Il n'est pas recommandГ© chez les personnes souffrant d'arythmie, d'hypertension artГ©rielle importante ou d'hypertrophie ventriculaire gauche. Le modafinil traite un trouble du sommeil et n'est pas destinГ© Г remplacer d'autres traitements des troubles du sommeil. En 2007, le modafinil a Г©tГ© approuvГ© en Europe pour le traitement des troubles du sommeil liГ©s au travail postГ© et, en 2008, il a Г©tГ© approuvГ© en Europe et en Australie pour le traitement de la maladie pulmonaire obstructive chronique modГ©rГ©e Г sГ©vГЁre. Le modafinil se prend par voie orale. Il est disponible sous forme de comprimГ© contenant 100 mg de mГ©dicament actif et a Г©tГ© approuvГ© par la Food and Drug Administration pour le traitement de la narcolepsie, y compris chez les populations pГ©diatriques et adolescentes. Ils sont gГ©nГ©ralement pris environ une heure avant le coucher. Le modafinil est Г©galement approuvГ© par la Food and Drug Administration (FDA) des Г‰tats-Unis pour favoriser l'Г©veil chez les personnes qui ne dorment pas suffisamment, ainsi que pour traiter la somnolence associГ©e Г l'apnГ©e obstructive du sommeil. Le modafinil s'est avГ©rГ© avoir une affinitГ© pour les rГ©cepteurs dopaminergiques D2, en particulier ceux avec de longues queues cytoplasmiques qui sont situГ©s au niveau des sites prГ©synaptiques dans la formation rГ©ticulaire et les voies tegmentales centrales pontiques et mГ©sencГ©phaliques.
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