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Use: Treatment to improve wakefulness in patients with excessive sleepiness associated with OSA and narcolepsy. Usual Adult Dose for Obstructive Sleep Apnea/Hypopnea Syndrome: 150 to 250 mg orally once a day in the morning Comments: -In obstructive sleep apnea (OSA), doses up to 250 mg/day have been well-tolerated but there is no consistent evidence of additional benefit beyond the 150 mg/day dose. -In obstructive sleep apnea (OSA), doses up to 250 mg/day have been well-tolerated but there is no consistent evidence of additional benefit beyond the 150 mg/day dose. -In OSA, this drug is not a treatment for the underlying obstruction. -In cases where continuous positive airway pressure (CPAP) is the treatment of choice for excessive sleepiness, a maximal effort to treat with CPAP for an adequate period of time should be made prior to initiating this drug.
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