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This medication may cause severe adverse effects, including severe dermatologic reactions, serious and potentially fatal conditions such as Toxic epidermal necrolysis, DRESS syndrome (Drug Reaction (or Rash) with Eosinophilia and Systemic Symptoms), and Stevens-Johnson Syndrome. The symptoms of these diseases may include fever, sore throat, headache, and vomiting with a severe blistering, peeling, and red skin rash. Modafinil may also have a contraceptive effect which lasts for a month after cessation of dosage. Always consult with a specialist before taking any medication.

Usual Adult Dose for Narcolepsy: 200 mg orally daily in the morning. Usual Adult Dose for Obstructive Sleep Apnea/Hypopnea Syndrome: 200 mg orally daily in the morning. Usual Adult Dose for Shift Work Sleep Disorder: 200 mg orally daily one hour prior to the start of the work shift. Talk with your doctor about what to do if you miss a dose of Provigil. Avoid taking the medicine if you do not plan to be awake for several hours. Skip the missed dose if it is almost bedtime. Do not take extra medicine to make up the missed dose.

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Zero recorded deaths in 17 years. With over 1300 studies conducted, it's considered well tolerated by humans, with no known deaths recorded in its 17 years of use in over 20 countries. Modafinil has a "very low abuse potential" with 90% of use being "off-label" by healthy individuals. "it appears to be well-tolerated, with a low rate of adverse events and a low liability to abuse."

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