MODAFINIL

65/100 · Elevated

Manufactured by Apotex Corp

Moderate Safety Concerns with Modafinil Based on FDA Adverse Event Data

65,856 FDA adverse event reports analyzed

Last updated: 2026-05-12

About MODAFINIL

MODAFINIL is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Apotex Corp. Based on analysis of 65,856 FDA adverse event reports, MODAFINIL has a safety score of 65 out of 100. This moderate score indicates a notable volume of adverse event reports that patients and providers should be aware of. The most commonly reported adverse reactions for MODAFINIL include FATIGUE, NAUSEA, DRUG INEFFECTIVE, HEADACHE, FALL. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for MODAFINIL.

AI Safety Analysis

Modafinil has a safety concern score of 65 out of 100, placing it in the elevated concern category based on analysis of FDA adverse event data. The FDA has received approximately 65,856 adverse event reports for this medication, which is primarily manufactured by Apotex Corp.

The most commonly reported adverse events include Fatigue, Nausea, Drug Ineffective. Of classified reports, 57.9% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Fatigue and nausea are the most frequently reported adverse events, with over 2,900 and 2,200 reports respectively.

Serious adverse events, including falls, depression, and suicidal ideation, account for nearly 58% of all reports. The highest number of reports is from individuals aged 50-57, indicating potential age-related safety concerns. Drug interactions and hypersensitivity reactions are notable safety signals, with over 490 and 451 reports respectively.

Patients taking Modafinil should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Modafinil can interact with other medications, and patients should inform their healthcare providers of all drugs they are taking. Hypersensitivity reactions have been reported, and patients should discontinue use if they experience symptoms such as This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 65/100

Modafinil received a safety concern score of 65/100 (elevated concern). This is based on a 57.9% serious event ratio across 31,622 classified reports. The score accounts for 65,856 total adverse event reports and 100 distinct reaction types. This elevated score indicates a notable proportion of serious adverse events and warrants careful monitoring.

Top Adverse Reactions

FATIGUE2,903 reports
NAUSEA2,217 reports
DRUG INEFFECTIVE2,104 reports
HEADACHE1,839 reports
FALL1,768 reports
DEPRESSION1,599 reports
ANXIETY1,480 reports
DIZZINESS1,390 reports
SOMNOLENCE1,388 reports
PAIN1,274 reports
CONDITION AGGRAVATED1,127 reports
INSOMNIA1,126 reports
FEELING ABNORMAL1,106 reports
WEIGHT DECREASED1,090 reports
ASTHENIA1,064 reports
VOMITING1,019 reports
DIARRHOEA969 reports
DYSPNOEA940 reports
GAIT DISTURBANCE939 reports
MALAISE887 reports
HYPERTENSION886 reports
OFF LABEL USE884 reports
MULTIPLE SCLEROSIS RELAPSE863 reports
MEMORY IMPAIRMENT826 reports
SLEEP APNOEA SYNDROME768 reports
MUSCLE SPASMS754 reports
URINARY TRACT INFECTION754 reports
ARTHRALGIA731 reports
TREMOR730 reports
MULTIPLE SCLEROSIS681 reports
BALANCE DISORDER677 reports
HYPOAESTHESIA674 reports
PAIN IN EXTREMITY674 reports
BACK PAIN672 reports
BLOOD PRESSURE INCREASED648 reports
SUICIDAL IDEATION647 reports
WEIGHT INCREASED607 reports
PARAESTHESIA598 reports
MIGRAINE594 reports
PNEUMONIA589 reports
PRE EXISTING CONDITION IMPROVED556 reports
PYREXIA551 reports
PRURITUS550 reports
NASOPHARYNGITIS548 reports
THERAPEUTIC RESPONSE UNEXPECTED546 reports
CONFUSIONAL STATE540 reports
RASH539 reports
MUSCULAR WEAKNESS535 reports
DECREASED APPETITE529 reports
INTENTIONAL PRODUCT USE ISSUE521 reports
PRODUCT DOSE OMISSION ISSUE512 reports
COUGH503 reports
FLUSHING491 reports
DRUG INTERACTION490 reports
CONSTIPATION468 reports
SURGERY463 reports
DRUG HYPERSENSITIVITY451 reports
CHEST PAIN448 reports
UNEVALUABLE EVENT446 reports
LOSS OF CONSCIOUSNESS440 reports
SINUSITIS438 reports
PRODUCT ADMINISTRATION INTERRUPTED436 reports
HYPERHIDROSIS425 reports
ABDOMINAL DISCOMFORT419 reports
COVID 19417 reports
HYPERSENSITIVITY412 reports
ABDOMINAL PAIN UPPER402 reports
STRESS395 reports
VISION BLURRED387 reports
GASTROOESOPHAGEAL REFLUX DISEASE371 reports
WRONG TECHNIQUE IN PRODUCT USAGE PROCESS371 reports
ALOPECIA364 reports
INFLUENZA LIKE ILLNESS362 reports
PALPITATIONS351 reports
DEATH345 reports
DRUG DOSE OMISSION327 reports
INFLUENZA326 reports
SEIZURE315 reports
MYALGIA314 reports
ABDOMINAL PAIN313 reports
DEHYDRATION310 reports
ASTHMA309 reports
DRY MOUTH308 reports
HOSPITALISATION304 reports
BRONCHITIS301 reports
URTICARIA300 reports
HALLUCINATION298 reports
HEART RATE INCREASED298 reports
COGNITIVE DISORDER297 reports
NEPHROLITHIASIS286 reports
CONTUSION285 reports
HYPOTENSION283 reports
MOBILITY DECREASED282 reports
PERIPHERAL SWELLING279 reports
CATAPLEXY278 reports
VISUAL IMPAIRMENT277 reports
AMNESIA275 reports
DISTURBANCE IN ATTENTION270 reports
AGITATION257 reports
NEUROPATHY PERIPHERAL256 reports

Key Safety Signals

  • Falls and depression are significant safety signals, particularly in older adults.
  • Suicidal ideation and death reports are concerning, especially given the high number of serious events.
  • Drug interactions and hypersensitivity reactions are key safety signals that require careful monitoring.

Patient Demographics

Adverse event reports by sex: Female: 21,312, Male: 9,232, Unknown: 52. The most frequently reported age groups are age 55 (448 reports), age 53 (436 reports), age 52 (433 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 31,622 classified reports for MODAFINIL:

  • Serious: 18,321 reports (57.9%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 13,301 reports (42.1%)
Serious 57.9%Non-Serious 42.1%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Female21,312 (69.7%)
Male9,232 (30.2%)
Unknown52 (0.2%)

Reports by Age

Age 55448 reports
Age 53436 reports
Age 52433 reports
Age 54414 reports
Age 56412 reports
Age 57408 reports
Age 50401 reports
Age 49398 reports
Age 47395 reports
Age 51392 reports
Age 45389 reports
Age 46388 reports
Age 48379 reports
Age 60373 reports
Age 58371 reports
Age 62364 reports
Age 44361 reports
Age 59361 reports
Age 43351 reports
Age 42335 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Modafinil can interact with other medications, and patients should inform their healthcare providers of all drugs they are taking. Hypersensitivity reactions have been reported, and patients should discontinue use if they experience symptoms such as

What You Should Know

If you are taking Modafinil, here are important things to know. The most commonly reported side effects include fatigue, nausea, drug ineffective, headache, fall. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Inform your healthcare provider about all medications and supplements you are taking to avoid potential drug interactions. Report any unusual symptoms or side effects to your healthcare provider immediately. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

The FDA continues to monitor Modafinil's safety profile, and updates will be issued as necessary. Healthcare providers should be vigilant in monitoring patients for serious adverse events and drug interactions.

Frequently Asked Questions

How many adverse event reports has the FDA received for Modafinil?

The FDA has received approximately 65,856 adverse event reports associated with Modafinil. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Modafinil?

The most frequently reported adverse events for Modafinil include Fatigue, Nausea, Drug Ineffective, Headache, Fall. By volume, the top reported reactions are: Fatigue (2,903 reports), Nausea (2,217 reports), Drug Ineffective (2,104 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Modafinil.

What percentage of Modafinil adverse event reports are serious?

Out of 31,622 classified reports, 18,321 (57.9%) were classified as serious and 13,301 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Modafinil (by sex)?

Adverse event reports for Modafinil break down by patient sex as follows: Female: 21,312, Male: 9,232, Unknown: 52. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Modafinil?

The most frequently reported age groups for Modafinil adverse events are: age 55: 448 reports, age 53: 436 reports, age 52: 433 reports, age 54: 414 reports, age 56: 412 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Modafinil?

The primary manufacturer associated with Modafinil adverse event reports is Apotex Corp. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Modafinil?

Beyond the most common reactions, other reported adverse events for Modafinil include: Depression, Anxiety, Dizziness, Somnolence, Pain. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Modafinil?

You can report adverse events from Modafinil to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Modafinil's safety score and what does it mean?

Modafinil has a safety concern score of 65 out of 100 (elevated concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. Fatigue and nausea are the most frequently reported adverse events, with over 2,900 and 2,200 reports respectively.

What are the key safety signals for Modafinil?

Key safety signals identified in Modafinil's adverse event data include: Falls and depression are significant safety signals, particularly in older adults.. Suicidal ideation and death reports are concerning, especially given the high number of serious events.. Drug interactions and hypersensitivity reactions are key safety signals that require careful monitoring.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Modafinil interact with other drugs?

Modafinil can interact with other medications, and patients should inform their healthcare providers of all drugs they are taking. Hypersensitivity reactions have been reported, and patients should discontinue use if they experience symptoms such as Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Modafinil.

What should patients know before taking Modafinil?

Inform your healthcare provider about all medications and supplements you are taking to avoid potential drug interactions. Report any unusual symptoms or side effects to your healthcare provider immediately.

Are Modafinil side effects well-documented?

Modafinil has 65,856 adverse event reports on file with the FDA. Serious adverse events, including falls, depression, and suicidal ideation, account for nearly 58% of all reports. The volume of reports for Modafinil reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Modafinil?

The FDA continues to monitor Modafinil's safety profile, and updates will be issued as necessary. Healthcare providers should be vigilant in monitoring patients for serious adverse events and drug interactions. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to MODAFINIL based on therapeutic use, drug class, or shared indications:

Apotex CorpOther manufacturersHealthcare providersPharmacies
Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.