How to Buy Modafinil Online – James H. Liu, MD, FAAP

Instructions for Using Modafinil (Provigil)

Let’s review the proper guidelines for using Modafinil (Provigil) for both standard and non-standard uses. This includes recommended dosages for different situations, contraindications, and potential side effects.

Proper Use of Modafinil

• For narcolepsy or sleep apnea, take in the morning. For shift work sleep disorder, take one hour before the start of the shift.
• Can be taken with or without food. Swallow the tablet whole with water.
• Follow the recommended duration of the treatment course.

Non-Standard Uses of Modafinil:

1. Students: To improve concentration during exams.
2. Professionals: To stay awake during long work hours or combat jet lag.
3. Military Personnel: To maintain alertness during long missions.
4. Shift Workers: To adapt to irregular work schedules.
5. Creative Professionals: To boost creativity and productivity.
6. Gamers: To maintain focus during long gaming sessions.
7. Appetite Suppression: For weight loss purposes.

It’s important to note that these non-standard uses are not medically approved and may carry risks.

Officially Approved Uses of Modafinil:

1. Narcolepsy
2. Obstructive Sleep Apnea/Hypopnea Syndrome (OSAHS)
3. Shift Work Sleep Disorder (SWSD)

Always follow your doctor’s recommendations and do not use Modafinil without medical supervision.

Dosage for Each Case

Modafinil is typically available in 100 mg and 200 mg tablets.

Narcolepsy:

• Adults (18-65 years): 200 mg once a day, usually in the morning.
• Seniors (65+): Initial dose of 100 mg, may increase to 200 mg if necessary.
• Adolescents (12-17 years): Initial dose of 100 mg, with a possible increase to 200 mg under medical supervision.

Obstructive Sleep Apnea:

• Adults (18-65 years): 200 mg once a day, usually in the morning.
• Seniors (65+): Start with 100 mg, may increase to 200 mg if necessary and well-tolerated.
• Adolescents (12-17 years): Generally not prescribed; consult a specialist.

Shift Work Sleep Disorder:

• Adults (18-65 years): 200 mg one hour before the start of the work shift.
• Seniors (65+): Initial dose of 100 mg, may increase to 200 mg if necessary.
• Adolescents: Not recommended for this condition.

For All Conditions:

• Children under 12 years: Modafinil is not recommended.
• Patients with liver dysfunction: Start with 100 mg per day, cautiously increase if needed.

Individual dosages may vary depending on the patient’s response, side effects, and other medical factors.

Contraindications

Modafinil should not be used in the following conditions:

• Hypersensitivity to modafinil or its components
• Left ventricular hypertrophy
• Cardiovascular issues such as mitral valve prolapse
• Severe anxiety disorders
• History of psychosis or mania
• Unstable or uncontrolled hypertension
• Severe liver dysfunction
• Pregnancy or planning to become pregnant
• Breastfeeding
• History of drug or alcohol dependence
• Concurrent use of hormonal contraceptives
• Severe renal failure
• Age under 12 years
• Cognitive impairment in elderly patients
• History of Stevens-Johnson syndrome
• Use of MAO inhibitors
• Arrhythmias or other heart conduction disorders
• Closed-angle glaucoma
• History of anaphylaxis or angioedema

Possible Side Effects

• Headache (34%)
• Nausea (11%)
• Nervousness (7%)
• Insomnia (5%)
• Dizziness (5%)
• Dry mouth (4%)
• Anxiety (4%)
• Back pain (3%)
• Diarrhea (3%)
• Decreased appetite (2%)
• Rhinitis (2%)
• Indigestion (2%)
• Chest pain (1%)
• Hypertension (1%)
• Palpitations (1%)
• Tachycardia (less than 1%)
• Depression (less than 1%)
• Rash (less than 1%)
• Confusion (less than 1%)
• Tremor (less than 1%)
• Vertigo (less than 1%)
• Agitation (less than 1%)
• Vision problems (less than 1%)
• Dry eyes (less than 1%)

It is important to note that these percentages are approximate and based on clinical studies. Individual experiences may vary.

James H. Liu, MD, FAAP

Adult & Pediatric ENT & Allergy of The Woodlands, serving The Woodlands and greater Houston area, is one of the pre-eminent ENT and Allergy practices in Texas. James H Liu, MD, FAAP has been in private practice since 2000, and opened Adult & Pediatric ENT & Allergy of The Woodlands in January 2014. This allowed him to achieve his ambition in creating a state-of-the-art facility to provide elite service for all of his ENT and Allergy patients in the Houston area. As a Board Certified Otolaryngologist (ENT), Dr. Liu is:

• The first full-time, fellowship trained Pediatric ENT in The Woodlands.
• The first ENT in the US to use certified Lactation Consultants for feeding and tongue tie patients in-office.
• The first ENT in Texas to utilize in-office image guidance via FusionTM ENT Navigation System for balloon sinuplasty procedures.
• The first ENT in The Woodlands that is able to perform Videonystagmography (VNG) testing and Auditory Brainstem Response (ABR) testing in-office.
• The first ENT in Texas to use the 1064X-LaseTM laser for tongue tie procedures.

Dr. James Liu has practiced in The Woodlands area as a Board Certified ENT for over a decade. His passion for medicine enabled him to enter Baylor College of Medicine at the age of seventeen as a Presidential Scholar and earn his MD at twenty-one. In addition to his six year ENT Residency training, Dr. Liu completed an additional two year Fellowship in Pediatric ENT at Cincinnati Children’s Hospital with the world renowned Dr. Robin Cotton. During this time, Dr. Liu authored or co-authored over twenty peer-reviewed abstracts/articles and two book chapters.

Dr. Liu is happily married and has three young children. He is an avid marathon runner and biker, having completed thirteen marathons, including Houston, Chicago and Boston, and several century rides, including the MS 150 and the Hotter’N Hell 100 in Wichita Falls. Dr. Liu is also a student of military history, particularly WW II, and is an avid B&W photographer. Always in his cowboy boots, when Dr. Liu retires from medicine, he dreams of settling down in the Texas Hill Country.

Dr. Liu has developed a particular interest in sinus disease and allergy in adults and children, as well as snoring/sleep apnea, and pediatric ENT.

Learn More About Dr. Liu →