Adrafinil
What this compound does
Adrafinil is a substance that your body turns into another compound that helps you stay awake and alert. It works by gently boosting certain natural brain chemicals that keep you feeling awake and focused. Unlike strong stimulants, it doesn't give you a sudden jolt or a crash, but it can help you feel more awake during the day or when you need to stay up. It was originally developed to help people with sleep disorders, but some people use it to improve focus and mental energy. However, there isn't a lot of high-quality research on how well it works for healthy people, and it can put stress on your liver, so it's important to be careful.
- • People with excessive daytime sleepiness
- • Shift workers needing to stay alert
- • Those with narcolepsy or sleep disorders
- • Adults looking for a mild cognitive boost
You may feel more awake and focused within 30 to 60 minutes after taking it, with effects lasting 6 to 8 hours. Some people notice a gradual increase in alertness rather than a sudden burst of energy.
- • Pregnant or breastfeeding women
- • People with liver problems
- • Those with high blood pressure or heart issues
- • Individuals with anxiety or panic disorders
- • Anyone taking MAO inhibitors or blood thinners
Production details below.
How much, when
Peer-reviewed studies
- PMID: 10891552A
Wakefulness in narcolepsy
Modafinil, the active metabolite, significantly improved wakefulness in patients with narcolepsy in multiple RCTs (n=271, 9-week trial).
- PMID: 12807304B
Cognitive enhancement in sleep-deprived adults
A single dose of modafinil (200 mg) improved attention and executive function in sleep-deprived healthy adults (n=40, crossover design).
- PMID: 10891553A
Shift work sleep disorder
Modafinil reduced sleepiness and improved performance in night shift workers in a 12-week RCT (n=209).
- ReviewC
Liver enzyme elevation
Case reports and small studies indicate that adrafinil can increase liver enzymes (ALT, AST) in some users, with incidence estimated at 5-10%.
- Meta-analysisB
Mood and anxiety effects
Modafinil may increase anxiety and agitation in susceptible individuals, as noted in a meta-analysis of 6 RCTs.
- PMID: 15009768C
Drug interaction with warfarin
Modafinil induces CYP3A4 and may reduce warfarin efficacy; case reports show decreased INR.
- PMID 31951804 · 2020Pharmacokinetic StudyB
Pharmacokinetic and pharmacodynamic of the cognitive enhancer modafinil: Relevant clinical and forensic aspects
- PMID 32447354 · 2020Narrative ReviewB
The role of eugeroics in the treatment of affective disorders
- PMID 1864252 · 1991Narrative ReviewB
[Noradrenaline and cerebral aging]
- PMID 27928893 · 2017Clinical StudyB
Outsmarted by nootropics? An investigation into the thermal degradation of modafinil, modafinic acid, adrafinil, CRL-40,940 and CRL-40,941 in the GC injector: formation of 1,1,2,2-tetraphenylethane and its tetra fluoro analog
Medicine interactions
- DO NOT COMBINE
MAO inhibitors· MAOI
Potential for hypertensive crisis due to combined dopaminergic and noradrenergic effects.
→ Do not use adrafinil with MAOIs; allow at least 14 days after stopping MAOIs.
- HIGH
Warfarin· blood_thinner
Modafinil induces CYP3A4, increasing warfarin metabolism and reducing its anticoagulant effect.
→ Monitor INR closely and adjust warfarin dose as needed.
- HIGH
Oral contraceptives· hormonal_contraceptive
Modafinil induces CYP3A4, reducing ethinyl estradiol levels and contraceptive efficacy.
→ Use additional non-hormonal contraception during and for one month after stopping adrafinil.
- MODERATE
SSRIs· SSRI
Modafinil may weakly inhibit serotonin reuptake, increasing risk of serotonin syndrome.
→ Monitor for symptoms of serotonin syndrome (agitation, hyperthermia, clonus).
- MODERATE
Cyclosporine· immunosuppressant
Modafinil induces CYP3A4, reducing cyclosporine levels.
→ Monitor cyclosporine levels and adjust dose if needed.
This page is a reference summary, not a prescription. Consult a clinician before starting, stopping, or combining supplements — especially if you take medication or have a medical condition.