Modafinil
Cognitive · Wakefulness-promoting
Also known as: Provigil
Tier B+
Bottom line
Read Off Label grades Modafinil as B+ (7.4/10) based on strong evidence, med-high benefit magnitude, and a low-med-risk safety profile.
Battleday & Brem 2015 reviewed ~24 studies; benefits most consistent on tasks requiring sustained attention and executive function.
Typical use: 100-400 mg PO once daily morning — Rx.
What this is
Battleday & Brem 2015 reviewed ~24 studies; benefits most consistent on tasks requiring sustained attention and executive function. Minor US Schedule IV scheduling. Popular off-label cognitive enhancer among knowledge workers and military. Reduces sleep pressure markers.
Mechanism
Weak DAT inhibitor; complex orexinergic, histaminergic, glutamatergic, and GABAergic effects; promotes wakefulness with lower abuse potential than amphetamines
Dose & route
100-400 mg PO once daily morning
Citations
- https://pubmed.ncbi.nlm.nih.gov/26293404/
- https://pubmed.ncbi.nlm.nih.gov/32822850/
- https://pmc.ncbi.nlm.nih.gov/articles/PMC3183109/
- https://pubmed.ncbi.nlm.nih.gov/41007388/
Links go to the source. If a link is dead or you want something re-checked, let me know.
Common questions
- Does Modafinil work?
- Read Off Label rates the evidence for Modafinil as Strong and the benefit magnitude as med-high, producing an overall grade of B+ (7.4/10). Battleday & Brem 2015 reviewed ~24 studies; benefits most consistent on tasks requiring sustained attention and executive function.
- Is Modafinil safe?
- Modafinil has a low-med risk profile in published human data. Legal status: Rx (Schedule IV US). This is not medical advice — see the disclaimer.
- What is the typical dose for Modafinil?
- 100-400 mg PO once daily morning
- How does Modafinil work?
- Weak DAT inhibitor; complex orexinergic, histaminergic, glutamatergic, and GABAergic effects; promotes wakefulness with lower abuse potential than amphetamines
This is an independent synthesis of published research by a non-clinician. Scores are opinions supported by citations, not prescriptions. See the full disclaimer and methodology for how this score was produced and what it does and doesn't mean.