Nuvigil

Generic Name: Armodafinil

  • What is Nuvigil?

    Nuvigil is used to improve awakeness in adults who are very sleepy due to shift work sleep disorder (SWSD), obstructive sleep apnea/hypopnea syndrome (OSAHS) or narcolepsy.

  • What is the most important information I should know about Nuvigil?

    Nuvigil is a controlled substance because it can be abused or lead to dependence. Keep it in a safe place to prevent misuse and abuse.

    Nuvigil may cause a serious rash or serious allergic reaction. Stop Nuvigil and call your doctor right away or seek emergency treatment if you develop any of the following: swelling of your face, eyes, lips, tongue, or throat; trouble swallowing or breathing; skin rash; hives; sores in your mouth; blistering or peeling skin; or hoarse voice.

    Nuvigil may cause serious side effects, including heart problems such as chest pain and mental problems such as depression, anxiety, hallucinations, mania, thoughts of suicide and aggression. If you notice any of these problems, stop taking Nuvigil and call your doctor or get emergency help.

    Nuvigil is used along with other medical treatments for SWSD, OSAHS, and narcolepsy and is not a replacement for a continuous positive airway pressure (CPAP) machine in people with OSAHS. It is important that you continue to use your CPAP machine while sleeping.

    You should be diagnosed with a sleep disorder before taking Nuvigil. This drug will not cure any sleep disorder, but it may help improve wakefulness. Nuvigil does not take the place of getting enough sleep. Follow your doctor's advice about good sleep habits and using other treatments.

    Nuvigil has not been studied in children younger than 17 years old and should not be used in this age group.

  • Who should not take Nuvigil?

    Do not take Nuvigil if you are allergic to any of its ingredients or if you have had a rash or allergic reaction to modafinil, the active ingredient in Provigil.

  • What should I tell my doctor before I take the first dose of Nuvigil?

    Tell your doctor about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Nuvigil. Also, talk to your doctor about your complete medical history, especially if you have ever had a heart attack, mental health problems (such as psychosis), high blood pressure, heart problems, liver or kidney problems, or a history of drug or alcohol addiction. You should also tell your doctor if you are pregnant, planning to become pregnant, or are breastfeeding.

    Tell the doctor if you use a hormonal birth control method (including birth control pills, shots, implants, patches, vaginal rings, and IUDs); Provigil can interfere with these types of birth control. Women using hormonal birth control with Provigil may have a higher chance of getting pregnant while taking Provigil and for 1 month after stopping the drug.

  • What is the usual dosage?

    The information below is based on the dosage guidelines your doctor uses. Depending on your condition and medical history, your doctor may prescribe a different regimen. Do not change the dosage or stop taking your medication without your doctor's approval.

    Obstructive Sleep Apnea/Hypopnea Syndrome (OSAHS) and Narcolepsy

    Adults: The recommended dose is 150 milligrams (mg) or 250 mg given as a single dose in the morning.

    Shift Work Sleep Disorder (SWSD)

    Adults: The recommended dose is 150 mg given daily approximately 1 hour before the start of a work shift.

  • How should I take Nuvigil?

    Take it exactly as prescribed by your doctor. Do not change the dose or the time of day that you take Nuvigil without your doctor's approval. Your doctor will tell you the right time of day to take this medication. If you take Nuvigil too close to your bedtime, you may find it harder to go to sleep.

  • What should I avoid while taking Nuvigil?

    Do not drive, operate dangerous machinery, or engage in potentially hazardous activities until you know how this drug affects you. You should also avoid drinking alcohol while taking this drug.

  • What are possible food and drug interactions associated with Nuvigil?

    If Nuvigil is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Nuvigil with the following: carbamazepine, erythromycin, hormonal birth control, ketoconazole, cyclosporine, diazepam, ethinyl estradiol, midazolam, omeprazole, phenobarbital, phenytoin, propranolol, rifampin, and triazolam.

  • What are the possible side effects of Nuvigil?

    Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking this drug.

    Common side effects may include: headache, nausea, dizziness, trouble sleeping

    Stop taking Nuvigil and call your doctor immediately or seek emergency treatment if you experience any of the following: a serious allergic reaction or rash; swelling of the face, eyes, lips, tongue, or throat; mental (psychiatric) symptoms such as depression, anxiety, hallucinations, mania, or thoughts of suicide; or heart problems including chest pain.

  • Can I receive Nuvigil if I am pregnant or breastfeeding?

    It is not known if Nuvigil is safe to use during pregnancy and breastfeeding and should therefore be avoided. Tell your doctor immediately if you are pregnant, plan to become pregnant, or are breastfeeding.

  • What should I do if I miss a dose of Nuvigil?

    Take a missed dose as soon as you remember. If it is close to bedtime, skip the missed dose and go back to your regular schedule. Do not take two doses at the same time.

  • How should I store Nuvigil?

    Store at room temperature.

Meet the Pharmacists

I'm Shereen A. Gharbia, PharmD. Welcome to PDR Health!

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