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United Kingdom patients receiving split-dose MODALERT are counseled that the 200 mg maximum daily dose remains the absolute limit, and that the timing of the second dose must be carefully managed to ensure that total daily intake does not exceed this limit. British sleep physicians emphasize that patient education regarding realistic expectations is essential for effective MODALERT use, with patients understanding that the medication produces meaningful improvement in wakefulness but does not eliminate all sleepiness or normalize objective alertness in all individuals.
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