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Flmodafinil
- Wakefulness-promoting agent
- Developed for treatment of a variety of different medical conditions. These include chronic fatigue syndrome, idiopathic hypersomnia, narcolepsy, attention deficit hyperactivity disorder (ADHD), and Alzheimer's disease.
- The drug has been found to act as a selective atypical dopamine reuptake inhibitor.
- Produces wakefulness-promoting effects in animals.
- Unlike modafinil, flmodafinil does not induce cytochrome P450 enzymes.
- Selective dopamine reuptake inhibitor (DRI).
- Affinity (Ki) for the DAT is 4,090 nM.
- At the serotonin transporter (SERT), its affinity (Ki) was 48,700 nM (12-fold lower than for the DAT).
- Negligible affinity for the sigma σ1 receptor (Ki > 100,000 nM).
- The drug has been found to block the dopamine transporter (DAT) by 83%, to a greater extent than methylphenidate without unfavorable concomitant adrenergic effects.
- Atypical DRI similarly to modafinil.
- Similarly to modafinil, (S)-(+)-flmodafinil and (R)-(–)-flmodafinil increase dopamine levels in the nucleus accumbens in animals. They have been found to increase dopamine levels by up to 150 to 200% of baseline at the highest assessed dose.
- In contrast to modafinil, flmodafinil is not an inducer of the cytochrome P450 CYP3A4 or CYP3A5 enzymes.