Tag: Eugeroic / wakefulness-promoting agent (R-enantiomer)

  • Armodafinil

    Plain-language summaryIntrigue 65 / 100

    Armodafinil, sold as Nuvigil, is the active half of modafinil purified out as a single enantiomer. It produces longer-lasting wakefulness than racemic modafinil because it lacks the rapidly cleared inactive enantiomer. It is FDA-approved for the same indications as modafinil. Not stocked by Kodiac. This monograph is provided for research and educational reference.

    Intrigue 0–100 blends mechanism novelty, evidence strength, and translational potential. Kodiac editorial, not peer-reviewed.

    Eugeroic / wakefulness-promoting agent (R-enantiomer)

    The (R)-enantiomer of modafinil with extended duration of action and greater wakefulness-promoting potency per milligram.

    Abstract

    Armodafinil (CAS 112111-43-0; molecular formula C15H15NO2S; molecular weight 273.35) is the (R)-enantiomer of modafinil, marketed under the trade name Nuvigil and approved by the FDA in 2007 for the same indications as racemic modafinil. The (R)-enantiomer carries the majority of the wakefulness-promoting activity of the racemate; the (S)-enantiomer contributes a smaller fraction of the eugeroic effect and metabolizes more rapidly. Pharmacokinetics differ from racemic modafinil principally in elimination: the plasma half-life of armodafinil is 12 to 15 hours, similar to the (R)-enantiomer in racemic modafinil dosing, but absent the early peak from rapid (S)-enantiomer clearance. The result is a flatter plasma concentration curve, with sustained alertness later into the day at lower per-milligram doses. Approved doses are 150 or 250 mg once daily in the morning. Mechanism of action mirrors that of modafinil: weak dopamine transporter binding with downstream orexinergic, histaminergic, and glutamatergic effects. The cognitive enhancement evidence base in healthy individuals overlaps with that of modafinil; the effect sizes are modest and most consistent in sleep-deprived subjects. Schedule IV in the United States. Adverse events parallel those of modafinil; rare DRESS and Stevens-Johnson syndrome cases are documented. Drug interactions through CYP3A4 induction are clinically relevant for hormonal contraception and immunosuppressants.

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