A nurse working the night shift begins taking modafinil (Alertec). The nurse is telling a coworker about the medication. Which statement is correct?
a. "I can take it during pregnancy."
b. "It doesn't have cardiovascular side effects."
c. "It is safe and has no serious adverse effects."
d. "It will not interfere with my normal sleep."
ANS: D
Modafinil is used to increase wakefulness in patients with excessive sleepiness, including those with shift-work sleep disorder (SWSD). It acts without disrupting nighttime sleep. It is embryotoxic in laboratory animals and therefore is contraindicated during pregnancy. It can increase the heart rate and blood pressure. In rare cases it has been linked to serious skin reactions, including Stevens-Johnson syndrome, erythema multiforme, and toxic epidermal necrolysis.
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