Armodafinil Treatment Report

Category: Prescription Drugs

Most Popular Types: Nuvigil

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Generic Name: Armodafinil

What is Armodafinil?

An example of Armodafinil

Armodafinil is a stimulant that is used to improve wakefulness in patients with excessive daytime sleepiness associated with narcolepsy and shift work sleep disorder; and as adjunctive therapy for obstructive sleep apnea-hypopnea syndrome (breathing interruption in sleep).

Reported Purpose & Perceived Effectiveness

Reasons and Perceived effectiveness
Perceived Effectiveness
Purpose # of patients # of patients with evaluations
Major
Moderate
Slight
None
Can’t tell
216 96 Efficacy_major Efficacy_moderate Efficacy_slight Efficacy_none Efficacy_cant_tell
130 58 Efficacy_major Efficacy_moderate Efficacy_slight Efficacy_none Efficacy_cant_tell
22 11 Efficacy_major Efficacy_moderate Efficacy_slight Efficacy_none
14 4 Efficacy_moderate Efficacy_slight Efficacy_none Efficacy_cant_tell
13 5 Efficacy_major Efficacy_moderate Efficacy_slight Efficacy_none Efficacy_cant_tell
8 5 Efficacy_moderate Efficacy_none

See all 354 patients currently taking Armodafinil

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Reported Side Effects

Side effects as an overall problem

Severe
28
Moderate
39
Mild
42
None
79

Commonly reported side effects, conditions, and hospitalizations associated with Armodafinil

13
8
6
6
5
5
See all 72 reported side effects See top 6 reported side effects

Reported Dosages

Frequently reported dosages based on patients currently taking Armodafinil. See all 33 dosages

  250mg as needed 150mg as needed 50mg as needed 1 other daily 50 mg daily 75 mg daily 150 mg daily 250 mg daily 300 mg daily 500 mg daily
  10 Number of Patients: 10 16 Number of Patients: 16 7 Number of Patients: 7 3 Number of Patients: 3 15 Number of Patients: 15 8 Number of Patients: 8 126 Number of Patients: 126 129 Number of Patients: 129 8 Number of Patients: 8 6 Number of Patients: 6  

Reported Stop Reasons

Why Patients Stopped Taking Armodafinil (multiple reasons could be selected)
Reason # Patients Percentage of patients
Side effects too severe 36   Side effects too severe: 29%
Expense 32   Expense: 26%
Did not seem to work 28   Did not seem to work: 22%
Other 25   Other: 20%
Change in health plan coverage 21   Change in health plan coverage: 17%
Doctor's advice 18   Doctor's advice: 14%
Not indicated 2   Not indicated: 2%
Personal research 1   Personal research: 1%
Course of treatment ended 1   Course of treatment ended: 1%

See all 123 patients who’ve stopped taking Armodafinil

Currently Taking Armodafinil

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more
0

Stopped Taking Armodafinil

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more

Reported Adherence, Burden & Cost See details from patient evaluations

Adherence

Taking treatment as prescribed

Adherence of Armodafinil

Always
124 66%
Usually
30 16%
Sometimes
29 15%
Never
5 3%

Burden

Difficulty being on treatment

Burden of Armodafinil

Very
7 4%
Somewhat
11 6%
A little
22 12%
Not at all
148 79%

Cost

Paid out of pocket

Cost of Armodafinil

$200+
16 12%
$100-199
6 4%
$50-99
30 22%
$25-49
25 19%
< $25
58 43%

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35 patient evaluations for Armodafinil

Purpose: Fatigue (Started Dec 01, 2011)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Mar 21, 2013 As needed Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate NoneNoneNoneNoneNone SometimesSometimesSometimesSometimesSometimes Not at allNot at allNot at allNot at allNot at all
Date
Mar 21, 2013
Advice & Tips
i just wanted to try it. It does help, but taking too many pills and it is expensive.
  • Icon_thumb_off 0 helpful marks
Purpose: Excessive daytime sleepiness (somnolence) (Started Aug 30, 2010)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Apr 10, 2012 50 mg Daily Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate ModerateModerateModerateModerateModerate UsuallyUsuallyUsuallyUsuallyUsually A littleA littleA littleA littleA little
Oct 14, 2011 50 mg Daily Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major ModerateModerateModerateModerateModerate SometimesSometimesSometimesSometimesSometimes SomewhatSomewhatSomewhatSomewhatSomewhat
Sep 21, 2010 50 mg Daily Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate ModerateModerateModerateModerateModerate AlwaysAlwaysAlwaysAlwaysAlways VeryVeryVeryVeryVery
Side effects:
Insomnia (less then 2 hours sleep)
Date
Apr 10, 2012
Advice & Tips
I only took this med when I had to drive, usually to work & I took it in the morning. I didn't like the headache it caused but I didn't need to take it every day, thank heavens. Taking this medicine made it possible for me to drive w/o falling asleep at the wheel. I never did fall asleep while driving but I felt so sleepy at times (pramipexole side effect) I was afraid I would.
Cost
< $25 monthly
Date
Oct 14, 2011
Advice & Tips
I only take this medication when I will be driving to work (a 45 minute drive). I avoid daily headaches & insomnia that way.
Cost
< $25 monthly
Date
Sep 21, 2010
Advice & Tips
I began with a dose of 150mg. I took this at 5:00AM and while it did keep me alert & awake for my commute to work, I was unable to sleep at all that night. I didn't want to take another one the next morning but I was afraid after not getting any sleep the night before that I would be even more apt to fall asleep at the wheel. I took 150 mg that morning and stayed awake all day. I did sleep that night after going 40 hours with no sleep. The next morning I took 1/2 of the pill. It worked to keep me awake & alert but still I couldn't fall asleep that night. I then broke the pill into 3 pieces (nowhere near equal pieces!) and took one piece each morning. It is enough to keep me awake and I am able to sleep at night.
Cost
< $25 monthly
  • Icon_thumb_off 0 helpful marks
  • satyr66
    Sex: M
    Data Quality: 2 stars
    MS: 19 yrs
    Type: Secondary Progressive
    Sensation: None
    Overall: Mild
    Cognition: moderate
    Vision: none
    Speech: none
    Swallowing: none
    Upper limb: moderate
    Walking: moderate
  • 24265-thumb
  • See satyr66's full Armodafinil history
Purposes: Fatigue and Excessive daytime sleepiness (somnolence) (Started Jul 28, 2010)
Date Dosage Fatigue Perceived effectiveness Excessive daytime sleepiness (somnolence) Perceived effectiveness Side Effects Adherence Burden
Feb 09, 2012 As needed Led_efficacy_2Led_efficacy_2Led_defaultLed_defaultSlight Led_efficacy_2Led_efficacy_2Led_defaultLed_defaultSlight NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Nov 18, 2010 250 mg Daily Led_efficacy_1Led_defaultLed_defaultLed_defaultNone MildMildMildMildMild AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Aug 04, 2010 150 mg Daily Led_efficacy_2Led_efficacy_2Led_defaultLed_defaultSlight Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Side effects:
Difficulty sleeping through night
Date
Feb 09, 2012
Advice & Tips
Didn't work for fatigue
Cost
$50-99 monthly
Date
Nov 18, 2010
Advice & Tips
I stoped taking Nuvigil because it stoped helping my daytime fatigue, and $60 is a lot of cash for something that is providing no relief...
Cost
$50-99 monthly
Date
Aug 04, 2010
Advice & Tips
I was taking Provigil with great results, then United Health Care droped it from their Formulary. I started on Nuvil a week ago, no where near as effective as Provigil for me but still offers moderate relief from daytime fatigue.
Cost
$50-99 monthly
  • Icon_thumb_on 1 helpful mark
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What is armodafinil?

Armodafanil is a medication that promotes wakefulness.

Armodafanil is used to treat excessive sleepiness caused by sleep apnea, narcolepsy, or shift work sleep disorder.

Armodafanil may also be used for purposes other than those listed in this medication guide.


Precautions

You should not use this medication if you are allergic to armodafanil or modafanil (Provigil).

Before using armodafanil, tell your doctor if you are allergic to any drugs, or if you have:

  • angina (chest pain);
  • cirrhosis or other liver problem;
  • kidney disease;
  • a heart muscle or valve disorder such as mitral valve prolapse;
  • a history of drug addiction;
  • if you take blood pressure medications; or
  • if you have recently had a heart attack.

If you have any of these conditions, you may not be able to use armodafanil, or you may need dosage adjustments or special tests during treatment.

Skin rashes serious enough to require hospitalization have occurred in people using a medicine similar to armodafanil. These rashes usually occurred within 1 to 5 weeks after the first dose.

Stop taking armodafanil and call your doctor at the first sign of any skin rash, no matter how minor you think it might be.

FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.

Armodafanil can make certain types of birth control pills less effective, which could result in an unplanned pregnancy. Talk with your doctor about the best methods of birth control to use while taking armodafanil.

It is not known whether armodafanil passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Do not give armodafanil to anyone younger than 17 years old.

Armodafanil affects the central nervous system. This can cause effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

Avoid other dangerous activity until you know how this medication will affect your level of wakefulness.

Avoid drinking alcohol while taking armodafanil.

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Instructions

Seek emergency medical attention if you think you have used too much of this medicine.

Overdose symptoms may include feeling excited or agitated, confusion, trouble sleeping, nausea, or diarrhea.

Take the missed dose as soon as you remember, but avoid taking the medication if you do not plan to be awake for several hours. If it is close to your normal bedtime hour, you may need to skip the missed dose and wait until the next day to take the medicine again.

Talk with your doctor about what to do if you miss a dose of armodafanil. Do not take extra medicine to make up the missed dose.

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Side Effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop using armodafanil and call your doctor at once if you have any of these serious side effects:

  • fever, sore throat, headache, and vomiting with a severe blistering, peeling, and red skin rash;
  • bruising, severe tingling, numbness, pain, muscle weakness;
  • easy bruising or bleeding;
  • white patches or sores inside your mouth or on your lips;
  • hallucinations, unusual thoughts or behavior;
  • depression, anxiety; or
  • chest pain, uneven heart beats.

Less serious side effects may include:

  • headache, dizziness;
  • feeling nervous or agitated;
  • nausea, diarrhea;
  • trouble sleeping (insomnia); or
  • dry mouth.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

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Interactions

Before using armodafanil, tell your doctor if you are using any of the following drugs:

  • cyclosporine (Neoral, Sandimmune, Gengraf);
  • propranolol (Inderal);
  • omeprazole (Prilosec);
  • rifampin (Rifadin, Rimactane, Rifater);
  • a sedative such as diazepam (Valium), midazolam (Versed), or triazolam (Halcion);
  • seizure medication such as carbamazepine (Carbatrol, Tegretol) or phenobarbital (Luminal, Solfoton);
  • an antidepressant such as clomipramine (Anafranil), isocarboxazid (Marplan), or phenelzine (Nardil); or
  • an antibiotics such as erythromycin (E-Mycin, E.E.S., Ery-Tab, Erythrocin) or ketoconazole (Nizoral).

This list is not complete and there may be other drugs that can interact with armodafanil. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

Other Names

armodafinil and Nuvigil

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Disclaimer

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2004 Cerner Multum, Inc. Version 2.05. Revision date 8/23/04

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