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Indicated for: Narcolepsy, Obstructive Sleep Apnea/Hypopnea Syndrome (as adjunctive therapy to continuous positive airway pressure), Shift Work Sleep Disorder, Headache, Nausea, Anxiety, Dizziness, Insomnia, Diarrhea.
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The Australian perspective suggests that apparent non-response to 200 mg MODALERT in some dizzy patients may reflect persistent maladaptive cognitive strategies that are not remediable through pharmacotherapy alone and that require specialized cognitive-behavioral physical therapy interventions targeting the conscious, effortful control of balance. American geriatricians counsel elderly patients that effective MODALERT 200 mg use requires careful attention to administration timing, with morning dosing essential to prevent insomnia from the medication's extended duration of action in this population, and that some elderly patients may achieve optimal response at reduced 100 mg dosages. American investigators have published long-term follow-up studies following patients with narcolepsy for up to five years of continuous MODALERT therapy, documenting sustained improvements in objective and subjective sleepiness measures without evidence of tolerance requiring dose escalation in the majority of patients.
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