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Modafinil in obstructive sleep apnea-hypopnea
syndrome: a pilot study in 6 patients
Arnulf I, Homeyer P, Garma L, Whitelaw WA, Derenne JP
Service de Pneumologie et Laboratoire du Sommeil,
Hopital Pitie-Salpetriere, Paris, France.
Respiration 1997; 64(2):159-61
ABSTRACT
We studied the effects of modafinil, a
vigilance-enhancing drug, on excessive daytime sleepiness, memory, night
sleep and respiration in 6 patients with obstructive sleep apnea-hypopnea
syndrome (OSAHS) using a double-blind random cross-over design with
24-hour polysomnography, verbal memory test and a 5-week sleep-wake diary
kept by the patients. There were two 2-week treatment periods in which
either modafinil or placebo was used; they were separated by a 1-week
wash-out period. Our results show that modafinil reduces daytime sleep
duration, lengthens the duration of subjective daytime vigilance and
improves long-term memory in patients with OSAHS without modifying night
sleep and respiration events.
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