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Nuvigil (Armodafinil) - Summary

 
 



NUVIGIL SUMMARY

NUVIGIL® (armodafinil) is a wakefulness-promoting agent for oral administration. Armodafinil is the R-enantiomer of modafinil which is a mixture of the R- and S-enantiomers.

NUVIGIL is indicated to improve wakefulness in patients with excessive sleepiness associated with obstructive sleep apnea, narcolepsy and shift work disorder.

In OSA, NUVIGIL is indicated as an adjunct to standard treatment(s) for the underlying obstruction. If continuous positive airway pressure (CPAP) is the treatment of choice for a patient, a maximal effort to treat with CPAP for an adequate period of time should be made prior to initiating NUVIGIL. If NUVIGIL is used adjunctively with CPAP, the encouragement of and periodic assessment of CPAP compliance is necessary.

In all cases, careful attention to the diagnosis and treatment of the underlying sleep disorder(s) is of utmost importance. Prescribers should be aware that some patients may have more than one sleep disorder contributing to their excessive sleepiness.

The effectiveness of NUVIGIL in long-term use (greater than 12 weeks) has not been systematically evaluated in placebo-controlled trials. The physician who elects to prescribe NUVIGIL for an extended time in patients should periodically re-evaluate long-term usefulness for the individual patient.


See all Nuvigil indications & dosage >>

NEWS HIGHLIGHTS

Media Articles Related to Nuvigil (Armodafinil)

Narcolepsy
Source: MedicineNet Chronic Fatigue Syndrome Specialty [2015.06.01]
Title: Narcolepsy
Category: Diseases and Conditions
Created: 3/4/2002 12:00:00 AM
Last Editorial Review: 6/1/2015 12:00:00 AM

Systematic review shows 'smart drug' modafinil does enhance cognition
Source: Sleep / Sleep Disorders / Insomnia News From Medical News Today [2015.08.20]
The drug modafinil was developed to treat narcolepsy (excessive sleeping), but it is widely used off-licence as a 'smart drug' to promote cognitive enhancement, where qualities such as alertness and...

more news >>

Published Studies Related to Nuvigil (Armodafinil)

Effect of armodafinil on cortical activity and working memory in patients with residual excessive sleepiness associated with CPAP-Treated OSA: a multicenter fMRI study. [2014]
positive airway pressure (CPAP) therapy... CONCLUSIONS: Armodafinil did not improve fMRI-measured functional brain

Armodafinil and modafinil in patients with excessive sleepiness associated with shift work disorder: a pharmacokinetic/pharmacodynamic model for predicting and comparing their concentration-effect relationships. [2012]
Armodafinil, the longer lasting R-isomer of racemic modafinil, improves wakefulness in patients with excessive sleepiness associated with shift work disorder (SWD). Pharmacokinetic studies suggest that armodafinil achieves higher plasma concentrations than modafinil late in a dose interval following equal oral doses...

The effect of adjunctive armodafinil on cognitive performance and psychopathology in antipsychotic-treated patients with schizophrenia/schizoaffective disorder: a randomized, double-blind, placebo-controlled trial. [2011.08]
CONCLUSIONS: There were no significant differences in neurocognitive measures between adjunctive armodafinil and placebo in this 6-week study. Armodafinil improved anhedonia-asociality, but not other negative symptom domains. Copyright (c) 2011 Elsevier B.V. All rights reserved.

Treatment of HIV-related fatigue with armodafinil: a placebo-controlled randomized trial. [2011.07]
CONCLUSIONS: As we found in our RCT of modafinil, armodafinil appears effective and well tolerated in treating fatigue in HIV+ patients. Side effects were minimal and most patients reported substantially improved energy and mood. Copyright (c) 2011 The Academy of Psychosomatic Medicine. Published by Elsevier Inc. All rights reserved.

Modafinil and armodafinil treatment for fatigue for HIV-positive patients with and without chronic hepatitis C. [2011.02]
Fatigue is prevalent among patients with hepatitis C virus (HCV) and with HIV/AIDS but there are no established fatigue treatments for either condition or their combination. We analysed data from three trials of modafinil or armodafinil for HIV-positive patients with fatigue, including 36 co-infected with HCV, to compare treatment response and safety parameters related to HCV status...

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Clinical Trials Related to Nuvigil (Armodafinil)

Evaluate the Efficacy of Armodafinil for Patients With B-cell Lymphoma and Severe Fatigue [Withdrawn]
To determine whether armodafinil is more effective than placebo in reducing fatigue.

Modafinil - Escitalopram Study for Cocaine Dependence [Completed]

Nuvigil or Placebo in Newly Diagnosed Malignant Glioma [Terminated]
The purpose of this study is to determine if Nuvigil« improves fatigue experienced by people receiving external beam radiation therapy for the treatment of malignant gliomas. It is also being done to determine if Nuvigil« improves cognitive function (perception, thinking, reasoning, and remembering) and overall quality of life in people receiving external beam radiation therapy for the treatment of malignant gliomas. Another purpose of this study is to see if people who receive Nuvigil┬« have more or less side effects than people who receive placebo. Placebo is a substance that looks like an active drug but has no active ingredient.

A Randomized Placebo-Controlled Trial of Armodafinil (Nuvigil) for Fatigue in Patients With Malignant Gliomas [Completed]
The purpose of this research study is to determine if armodafinil is safe and effective in treating fatigue in patients with malignant gliomas undergoing treatment with radiotherapy plus temodar. Armodafinil is a wakefulness-promoting agent that has been FDA approved for the treatment of excessive daytime sleepiness for a variety of disorders. Armodafinil may also help to reduce radiation-induced fatigue in brain tumor patients.

PET Study Examining the Dopaminergic Activity of Armodafinil in Adults [Completed]
The specific aims of this study are 1) to document the Dopamine Transporter (DAT) receptor occupancy of armodafinil using positron emission tomography (PET) scanning with C-11 altropane as the ligand and 2) to document the increased intrasynaptic dopamine produced by armodafinil using PET scanning with C-11 raclopride as the ligand. We hypothesize that DAT occupancy will be low with armodafinil; less than the DAT occupancy produced by therapeutic doses of methylphenidate. We also hypothesize that increases in intrasynaptic dopamine will be relatively low with armodafinil.

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Reports of Suspected Nuvigil (Armodafinil) Side Effects

Drug Ineffective (164)Headache (105)Insomnia (93)Nausea (67)Rash (54)OFF Label USE (53)Feeling Abnormal (47)Anxiety (45)Somnolence (41)Dizziness (40)more >>


PATIENT REVIEWS / RATINGS / COMMENTS

Based on a total of 3 ratings/reviews, Nuvigil has an overall score of 8.67. The effectiveness score is 10 and the side effect score is 8. The scores are on ten point scale: 10 - best, 1 - worst.
 

Nuvigil review by 50 year old male patient

  Rating
Overall rating:  
Effectiveness:   Highly Effective
Side effects:   No Side Effects
  
Treatment Info
Condition / reason:   originally sleep apnea
Dosage & duration:   150mg taken 1 a day for the period of a year and still taking it
Other conditions:   at the begining , secondary polycythemia
Other drugs taken:   linsinapril (for blood pressure) and 80mg baby asprin, and celebrex for joints, and teststostirone s
  
Reported Results
Benefits:   Benefits were I was able to stay awake during the day. And now that I have esophageal cancer I strongly believe Nuvigil is a big help with the side effects of chemoradiation treatments.
Side effects:   I haven't seen any side effects yet.
Comments:   I have since been dianosed with esophageal cancer, I am in a 5 week treatment regimine with chemo and radiation and then i'll be going through surgery. I asked and was told it would be ok to keep taking the Nuvigil during all this and I am really happy that I am able to keep taking it. I really think it is helping me with some of the side effects from the chemoradiation treatments i have been getting. I'm right in the center of treatments now and I am suppose to have the lowest blood cell count now but I don't think so. I see the doctor today and get my first cbc done since I started. I think the Nuvigil is a big help while going through this and I think the doctors are seeing that too. I've been going to work everyday while getting all my treatments. And I'm sure that would not be happing without the Nuvigil.

 

Nuvigil review by 34 year old male patient

  Rating
Overall rating:  
Effectiveness:   Highly Effective
Side effects:   Severe Side Effects
  
Treatment Info
Condition / reason:   Shift work sleep disorder
Dosage & duration:   250mg taken daily for the period of 3mo
Other conditions:   none
Other drugs taken:   Minocycline, clindamycin cream, benzoyl peroxide.
  
Reported Results
Benefits:   Extremely effective for staying awake. No jitters, just plain awake. Puts you in a great mood too, but definitely not high.
Side effects:   ACNE. Horrible acne that starts deep in the skin and comes in clusters. I never had acne before this. I stopped this drug a few times, and the acne cleared up immediately. I have to find something to clear this up, or I will have to stop taking it for good. I started acne drugs listed above with no effect. This is terrible, Nuvigil works so good, but my skin looks dreadful. Clusters of gross looking acne, each is a big bump of different sizes.
Comments:   Works great, but acne is terrible

 

Nuvigil review by 34 year old male patient

  Rating
Overall rating:  
Effectiveness:   Highly Effective
Side effects:   Severe Side Effects
  
Treatment Info
Condition / reason:   Shift work sleep disorder
Dosage & duration:   250mg taken daily for the period of 3mo
Other conditions:   none
Other drugs taken:   Minocycline, clindamycin cream, benzoyl peroxide.
  
Reported Results
Benefits:   Extremely effective for staying awake. No jitters, just plain awake. Puts you in a great mood too, but definitely not high.
Side effects:   ACNE. Horrible acne that starts deep in the skin and comes in clusters. I never had acne before this. I stopped this drug a few times, and the acne cleared up immediately. I have to find something to clear this up, or I will have to stop taking it for good. I started acne drugs listed above with no effect. This is terrible, Nuvigil works so good, but my skin looks dreadful. Clusters of gross looking acne, each is a big bump of different sizes.
Comments:   Works great, but acne is terrible

See all Nuvigil reviews / ratings >>

Page last updated: 2015-08-20

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