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L'approbation a Г©tГ© prolongГ©e plusieurs fois. Le modafinil est un stimulant, utilisГ© comme traitement de la narcolepsie, des troubles du sommeil liГ©s au travail postГ© et de l'apnГ©e chronique du sommeil. Il montre une sГ©lectivitГ© pour le rГ©cepteur D4 par rapport au rГ©cepteur D3. C'est un mГ©dicament racГ©mique, ce qui signifie qu'il contient Г  la fois les Г©nantiomГЁres R et S.

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Il est disponible en tant que mГ©dicament gГ©nГ©rique. Le modafinil a une demi-vie plasmatique trГЁs courte (t 1/2) de 2 Г  3 heures, et agit principalement au niveau du rГ©cepteur GABAA. Une diffГ©rence principale entre les deux mГ©dicaments est que le modafinil a un potentiel d'abus relativement faible et que ses effets ne sont pas aussi intenses. D'autre part, le modafinil n'est pas connu pour ГЄtre efficace dans le traitement des troubles affectant le systГЁme nerveux central. D'autres suggestions pour son mГ©canisme d'action comprennent son action sur la libГ©ration de calcium du rГ©ticulum endoplasmique et la cascade d'AMPc le long de la voie adГ©nylate cyclase/AMPc.

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