People are abusing this drug called Provigil, that is a wake-promoting drug used to treat certain sleep disorders like narcolepsy, is also being used by some without the sleep disorder to keep them alert and attentive, according to an ABC News report.
"People
 have used it to try to get an edge at studying at school. It's becoming
 like Ritalin where people are taking it that don't have anything. But 
they're using it to try to increase their alertness," Dr. Philip 
Gehrman, Ph.D., CBSM, clinical director of the Behavioral Sleep Medicine
 Program at the University of Pennsylvania, told HuffPost.
However, doctors told ABC News that it is not known if the drug is safe for use long-term, as there has not been any research on this specifically.
"It's
 very tempting, but I think long-term it's a bad idea," Dr. Martha 
Farah, a cognitive neuroscientist at the University of Pennsylvania, told ABC News. "We actually know very little about the long-term effects."
There are also side effects
 associated with the drug, according to the National Institutes of 
Health, which include headaches, nausea, back pain, burning or tingling 
skin, and more severely, rashes, hives, problems with breathing or 
swallowing, anxiety, depression and hallucinations. (For more on the side effects of Provigil, click here.)
In addition, people need to realize that the drug is not
 a replacement for sleep, and if they take it and don't get enough 
sleep, they will still experience the negative health effects of sleep 
deprivation, Gehrman explained.
"They're just kind 
of masking how they feel during the day, and so all the negative health 
consequences of not getting sleep still apply," he added.
In fact, it says on the Provigil website:
 "PROVIGIL does not take the place of getting enough sleep. Follow your 
doctor's advice about good sleep habits and using other treatments."
Provigil
 was first approved by the FDA as a treatment for narcolepsy. It was 
hailed because it was an alternative to stimulants, which were the only 
other treatment for narcolepsy at the time, but had a lot of side 
effects, were easy to build up tolerance to, and could be abused, 
Gehrman said.
Provigil's use was later expanded to 
treat people with shift work sleep disorder and certain cases of sleep 
apnea, where the sleep apnea is already being treated but sleep problems
 still persist, he said. The military has also done some work with the 
drug to see if it could help troops stay awake for extended periods of 
sleep deprivation.
Use of Provigil among people 
without sleep disorders isn't new, though. TechCrunch reported back in 
2008 about an executive who was able to work 20 hours a day while on the drug, even though it hasn't been shown to be safe for use for this purpose.
Athletes have gotten in hot water, too, over taking the drug. Kelli White, a U.S. sprinter, tested positive for modafinil
 on a drug test, and subsequently had her World Track and Field 
Championships medals stripped from her in 2004, BBC News reported.

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