Package	Per tablet	Savings	Price
180 tablets	$0.31	$16	$72 $56
150 tablets	$0.32	$12	$60 $48
120 tablets	$0.33	$9	$48 $39
90 tablets	$0.34	$5	$36 $31
60 tablets	$0.37	$2	$24 $22
30 tablets	$0.40	–	$12

What is this medicine?

ARTVIGIL (armodafinil) is a wakefulness-promoting agent. This medicine is used to treat excessive sleepiness caused by narcolepsy, obstructive sleep apnea (OSA), and shift work sleep disorder (SWSD). It works by affecting certain substances in the brain that control the sleep-wake cycle, helping you stay awake during the day.

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What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• Heart problems (e.g., mitral valve prolapse, chest pain, irregular heartbeat)

• High blood pressure

• Liver or kidney disease

• Mental health conditions (e.g., anxiety, depression, mania, psychosis)

• History of alcohol or drug abuse

• An unusual or allergic reaction to armodafinil, modafinil, or any other medications

• Pregnant or trying to get pregnant

• Breast-feeding

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How should I use this medicine?

Take this medicine by mouth with a full glass of water. Follow the instructions given by your doctor:

• For narcolepsy or OSA: Take in the morning once daily.

• For shift work sleep disorder: Take about 1 hour before your work shift begins.

Take your doses at the same time each day. Do not take more than prescribed. Do not stop using the medicine without consulting your doctor.

Overdosage: If you think you have taken too much of this medicine, contact a poison control center or emergency room immediately.

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What if I miss a dose?

If you miss a dose, take it as soon as possible. If it is almost time for your next dose, skip the missed dose. Do not take double or extra doses.

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What may interact with this medicine?

• Hormonal contraceptives (pills, patches, implants) – effectiveness may be reduced

• Cyclosporine

• Blood thinners like warfarin

• Antidepressants (e.g., clomipramine, MAOIs)

• Seizure medications (e.g., phenytoin, carbamazepine)

• Antifungal medications (e.g., ketoconazole)

• Stimulants or other wakefulness-promoting agents

• Caffeine and alcohol

This list may not describe all possible interactions. Provide your doctor or pharmacist with a complete list of all medications, supplements, or herbal products you use. Also mention any use of alcohol, tobacco, or recreational drugs.

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What should I watch for while using this medicine?

• This medicine does not replace adequate sleep. Continue using CPAP or other treatments for OSA if prescribed.

• See your doctor regularly to monitor your condition.

• This medication may cause dizziness or affect judgment. Avoid driving or using heavy machinery until you know how it affects you.

• Avoid alcohol while taking this medicine—it may increase side effects.

• Women using hormonal birth control should use additional contraception during treatment and for at least 1 month after stopping this medicine.

• Notify your doctor if you experience new or worsening mental health symptoms like anxiety, agitation, hallucinations, or suicidal thoughts.

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What side effects may I notice from this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• Allergic reactions like rash, itching or hives, swelling of the face, lips, or tongue

• Chest pain or palpitations

• Mental/mood changes (e.g., depression, anxiety, hallucinations)

• Shortness of breath

• Thoughts of self-harm or suicide

Side effects that usually do not require medical attention (report if they persist or become bothersome):

• Headache

• Nausea

• Dry mouth

• Dizziness

• Trouble sleeping (insomnia)

• Anxiety

• Diarrhea

• Loss of appetite

This list may not describe all possible side effects.

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Where should I keep my medicine?

• Keep out of the reach of children.

• Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F).

• Keep the medicine tightly closed and protect from moisture.

• Properly discard any unused medicine after the expiration date or as instructed by your pharmacist.