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Buy Modalert 200 as directed. Taking MODAFINIL first thing in the morning, half an hour before work, or as prescribed by a doctor is the standard dosage for preventing afternoon sleepiness. The optimal dosage should be determined in consultation with one's doctor following a thorough evaluation of one's physical health. Negative effects of MODAFINIL include, but are not limited to, the following: anxiety, nausea, sleeplessness, dizziness, stomach problems, and diarrhea. Talk to your doctor right away if your symptoms don't improve within a few days or if you feel the need for urgent medical attention.