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The availability of these generic tablets has made the treatment far more accessible than when only the expensive brand-name Provigil was available. Crucially, the stimulating effects of modafinil can mask the profound sedative and respiratory-depressant effects of the opioids, leading an individual to mistakenly believe they are more alert and in control than they actually are, which dramatically increases the risk of accidental opioid overdose, respiratory failure, and death. Modafinil Alternative Over The Counter Comfort Now. However, due to its status as a Schedule IV controlled substance, prescriptions are subject to stricter regulations than most medications; some platforms may have policies against prescribing controlled substances virtually, and federal telemedicine rules for controlled substances have specific requirements. Its effects are familiar: increased alertness, improved mood, and a slight boost in concentration, often followed by a crash. Modafinil can increase focus and task persistence to the point where one might neglect basic needs like drinking enough water or taking bathroom breaks, which can contribute to constipation.

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