Brief Answer:
closely monitor for side effects
Detailed Answer:
Hi,
Welcome to XXXXXXX
As you must be knowing that
Cipralex has common side effects on Sleep. It can cause
Insomnia as well as sleepiness.
Modafinil is a good medicine for your alertness during day time. It is true that Modafinil increases the side effects of Cipralex, by increasing its concentration in blood. SO first we have to determine that whether you really need Modafinil, or by changing timings of Cipralex, we can resolve your sleep issues. I feel that if you take Cipralex in the evening, may be 4 hours before your sleeping time, you may solve your sleeping issues, and may not need Modafinil. Dose, I feel 10 mg is not high, specially if you are not older than 65 years, no
Liver disease.
In any case if you have to take Modafinil, we have to take certain precautions. Your Doctor must do regular ECG, Blood electrolytes level, Liver function tests, and check the drug concentration of Cipralex, which should range between 20 microgram/l to 80 microgram/l.
Modafinil can also cause addiction, so it is better to avoid unless it is truly required.
I hope I have answered your query. You are welcome for any further question.
Dr H Hamdani
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