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On pense que le modafinil active ou supprime directement les rГ©cepteurs cellulaires du cerveau impliquГ©s dans le cycle du sommeil. Lors d'essais cliniques, des personnes atteintes de narcolepsie lГ©gГЁre Г  sГ©vГЁre ont rapportГ© que le modafinil est capable de rГ©duire la somnolence et d'amГ©liorer l'Г©veil et le fonctionnement social. Des Г©tudes ont montrГ© que le modafinil stimule le mГ©tabolisme de nombreuses zones du corps et, lorsqu'il est utilisГ© dans un contexte de manque de sommeil, il a un impact positif immГ©diat sur les performances cognitives.

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Le modafinil est un agent favorisant l'Г©veil sГ©lectif non amphГ©tamine qui a Г©tГ© Г©valuГ© dans un grand nombre d'essais cliniques chez des patients adultes et pГ©diatriques. Les niveaux perturbГ©s d'oxygГЁne sanguin (hypoxie) et de dioxyde de carbone (hypercapnie) qui en rГ©sultent peuvent entraГ®ner une fatigue diurne excessive, altГ©rer la mГ©moire Г  court terme et rГ©duire la capacitГ© Г  effectuer des activitГ©s de la vie quotidienne. Le modafinil active principalement les centres favorisant l'Г©veil dans le tronc cГ©rГ©bral, en particulier le noyau du tractus solitarius (NTS), le raphГ© dorsal et la zone tegmentale ventrale (VTA) du mГ©sencГ©phale. Г‰viter le soleil, utiliser un FPS supГ©rieur Г  30 et prendre la dose la plus faible recommandГ©e de modafinil sont autant de mesures qui peuvent ГЄtre prises pour Г©viter toute interaction avec le mГ©dicament.

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