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CASE REPORT
Modafinil in schizophrenia: is the risk worth taking?
  1. Daniel Neto1,2,
  2. Carla Spínola1,
  3. Joaquim Gago1,2
  1. 1Departamento de Psiquiatria e Saúde Mental, Centro Hospitalar de Lisboa Ocidental, Lisboa, Portugal
  2. 2Departamento de Saúde Mental, NOVA Medical School – Faculdade de Ciências Médicas, Lisboa, Portugal
  1. Correspondence to Dr Daniel Neto, danielcarvalhoneto{at}gmail.com

Summary

Schizophrenia is a severe mental disorder characterised by positive and negative symptoms. Negative symptoms are difficult to treat and there is no specific treatment. In small trials, modafinil has been studied in association with antipsychotic treatment. We present three cases of its use; two have developed positive symptoms and one developed renal impairment. Further studies are needed to assess its usefulness in schizophrenia and safety in this group of patients.

  • drugs: psychiatry
  • schizophrenia

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Footnotes

  • Contributors DN and JG were responsible for planning, conduct, reporting, conception and design. CS was responsible for reporting.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.