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Some people who take Modalert 200 mg may feel dizzy, sleepy, have trouble thinking or moving, or have trouble seeing clearly. Make sure you know how this medicine affects you before you drive, use tools, or do other jobs that require you to be alert, well-coordinated, or able to think or see well.

Modafinil may change the peripheral autonomic nerve system because it makes you feel more awake. Modafinil raises the heart rate and blood pressure when the person is at rest. Plasma and pee both have norepinephrine, and urine also has epinephrine. Modafinil may cause stimulation of the sympatho-medullary system.

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