Armodafinil, product photo
Medication

Armodafinil

Armodafinil - the pure R-enantiomer of modafinil. Half the dose, a flatter decline across the afternoon.

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At a glance

Armodafinil by the numbers

The key figures from our lexicon. Drag the point along the curve to see how much is left after one dose, by calculation.

Full lexicon entry

How long does it stay in the body?

Share left after one dose, calculated with a half-life of ~15 hours

Half-life ~15 hours
After 30 hours: 25 %
Hour 15 · 50 %Hour 30 · 25 %Hour 45 · 12.5 %Hour 75 · 3.1 %

Simplified model without an absorption phase, half-life from the TPD lexicon.

Class
Eugeroic

wakefulness promoter, R-enantiomer of modafinil

Half-life
About 15 hours

single-phase decline

Use
Oral

1x per waking phase, in the morning or about 1 hour before the shift

Sizes
150 to 250 mg

3 sizes in the shop

For research and educational purposes only. Values from the TPD lexicon, sources linked there.

There is no lab analysis for Armodafinil yet. Vote for itAll lab analyses

Knowledge

Everything about Armodafinil

Description

Armodafinil is the R-enantiomer of modafinil. Modafinil itself is a racemate, an equal mixture of two mirror-image molecules. Of the two, the R-enantiomer has the markedly longer half-life; the S-enantiomer clears from plasma roughly three times faster. Armodafinil isolates exactly the slower-clearing half, which is why 150mg armodafinil corresponds to around 200mg modafinil.

The practical difference is not peak effect, it is the curve. Because the fast-clearing half is missing, plasma levels fall more gently across the afternoon and concentrations in the second half of the day sit higher than with an equivalent modafinil dose. That is precisely why armodafinil was the compound of choice in work on shift schedules and shifted rhythms.

The mechanism is the same as for the racemate and still not fully resolved. Inhibition of the dopamine transporter is central, with additional effects on the orexinergic, histaminergic, noradrenergic and glutamatergic systems of the hypothalamus. The review by Sousa and Dinis-Oliveira places armodafinil explicitly in the same pharmacological class as modafinil and adrafinil. As with the racemate, dopamine is not actively released from vesicles, only reuptake is blocked, which separates the profile clearly from amphetamine derivatives.

The evidence base is thinner than for modafinil, but very solid in one place. In the randomized, placebo-controlled multicenter study by Czeisler and colleagues in 254 night shift workers with shift work disorder, armodafinil 150mg lengthened mean sleep latency from 2.3 to 5.3 minutes, while it stayed essentially unchanged on placebo. Standardized memory and attention tests improved as well. Daytime sleep was not disturbed on polysomnography. For interactions and adverse effects the modafinil literature largely applies, for example the evidence-based review by Kumar.

In a research context armodafinil is therefore a wakefulness compound with a longer profile, not a stronger version of modafinil. Anyone who wants a shorter effect is better served by the racemate.

You can order Armodafinil as oral tablets with 150mg or 250mg per tablet, 10 tablets per blister.

This information is for research and educational purposes only. No medical advice.

Risks & Safety

Armodafinil shares the safety profile of modafinil. Two points are routinely overlooked. Both belong on the table before any engagement with the substance.

  • Severe skin reactions: Severe skin reactions up to Stevens-Johnson syndrome are documented for the modafinil class. The review by Sousa and Dinis-Oliveira lists them explicitly. They are very rare, usually appear within the first weeks and are potentially life-threatening. Any new rash, any blistering and any involvement of mouth, eyes or mucous membranes is a reason to stop and a case for medical assessment.
  • Interaction with hormonal contraceptives: The class induces CYP3A4. Prescribing information therefore notes reduced reliability of hormonal contraception during use and for roughly one month afterwards. This is the single most overlooked point of the entire class.
  • A longer effect means a longer sleep shift: The advantage of armodafinil is also its risk. Dosing in the afternoon pushes sleep further into the night than modafinil would. Timing matters more than quantity with this substance.
  • Further CYP interactions: Via CYP3A4 induction, substrates with high first-pass metabolism are affected; CYP2C19 is additionally inhibited, which concerns diazepam, omeprazole and phenytoin among others.
  • Common adverse effects: Headache is by far the most frequent effect in the trials, followed by nausea, nervousness, reduced appetite and dry mouth. Slight increases in blood pressure and heart rate are described.
  • Abuse and dependence potential: Lower than with amphetamines, but not zero. Class reviews derive this from the dopaminergic action and do not rule out potential in vulnerable groups.

This classification does not replace medical advice. Risk and responsibility for any actual use lie entirely with the buyer.

Studies

Dosing

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FAQ

Frequently asked

Sources for every answer: lexicon entry

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What is armodafinil approved for?

In the USA since June 2007 to improve wakefulness in adults with excessive sleepiness from obstructive sleep apnoea, narcolepsy or shift work disorder. In sleep apnoea it does not replace treatment of the airway.

Is armodafinil stronger than modafinil?

Not at the peak. Half-life and peak level were the same after single doses, both about 13 hours. Armodafinil, however, falls in a single phase and more slowly, so total exposure per milligram was 33 to 40 percent higher. Above all this means more drug in the afternoon and evening.

What did the shift work study show?

254 night shift workers took armodafinil or placebo before the shift for 12 weeks. Sleep latency at night rose from 2.3 to 5.3 minutes, with placebo only from 2.4 to 2.8. Memory and attention improved and daytime sleep was not disturbed.

And in narcolepsy?

In 196 patients the time staying awake lengthened by 1.3 minutes (lower study dose) and 2.6 minutes (higher), while it fell by 1.9 minutes with placebo. The gap between the two doses was small.

Which interactions have been measured?

After several weeks of dosing midazolam exposure fell by 17 percent (vein) and 32 percent (mouth), a sign of more CYP3A4 activity. Omeprazole rose by 38 percent because CYP2C19 is inhibited. Caffeine was unchanged. Anyone using drugs broken down by these enzymes should clarify this with a doctor.

What do the long-term data show?

In the open-label extension with 743 patients over at least 12 months the effect was maintained. 13 percent stopped because of side effects, most often headache (25 percent) and insomnia (14 percent). Blood pressure and pulse rose moderately, mostly in the first three months.

Does armodafinil work like a stimulant?

It acts on the dopamine transporter like cocaine but inhibits it less potently. In mice dopamine in the nucleus accumbens rose less strongly but for longer. In a discrimination test both enantiomers fully substituted for cocaine in mice. A potential for misuse can therefore not be ruled out.

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