A Double-Blind Placebo-Controlled Investigation of the Efficacy of Modafinil for Maintaining Alertness and Performance in Sustained Military Ground Operations

作者: Joseph Fischer , Patrick Hickey , Jeffrey Whitmore , Richard Harrison , Brandon Doan

DOI:

关键词:

摘要: Abstract : With the advent of 24/7 warfighter, novel pharmaceutical agents have come to forefront interest for maintaining sustained operations. The eugregoric, modafinil, was administered during an 88-hr sleep loss study evaluate its performance maintenance capability. A modafinil dosing schedule (100/100/200 mg), would maintain cognitive and psychomotor at or near baseline levels throughout experimental period. repeated measures, double blind design used examine 100 200 mg doses every eight hours twelve participants. Cognitive physiological tests were presented iteratively sessions. results this provide some evidence that partially attenuates decrement caused by in field environments, thus increasing likelihood successful mission accomplishment. As anticipated, had very little impact upon physical performance, no adverse physiologic effects, produced few side effects. Modafinil may negatively but effect appears minimal should be investigated a controlled manner. universal acceptance our participants, observed mild advantages, low health risk, make it candidate applications.

参考文章(10)
Krupka M, Frey R, Saletu B, Barbanoj Mj, Anderer P, Grünberger J, Differential effects of a new central adrenergic agonist--modafinil--and D-amphetamine on sleep and early morning behaviour in young healthy volunteers. International Journal of Clinical Pharmacology Research. ,vol. 9, pp. 183- 195 ,(1989)
Manny W Radomski, Alain Buguet, Dianne E Moroz, Modafinil--medical considerations for use in sustained operations. Aviation, Space, and Environmental Medicine. ,vol. 74, pp. 659- 663 ,(2003)
D. Lagarde, D. Batejat, P. Beers, D. Sarafian, S. Pradella, Interest of modafinil, a new psychostimulant, during a sixty-hour sleep deprivation experiment Fundamental & Clinical Pharmacology. ,vol. 9, pp. 271- 279 ,(1995) , 10.1111/J.1472-8206.1995.TB00295.X
Didier Lagarde, Denise Batejat, Disrupted Sleep-Wake Rhythm and Performance: Advantages of Modafinil Military Psychology. ,vol. 7, pp. 165- 191 ,(1995) , 10.1207/S15327876MP0703_2
Y. Nancy Wong, S. Peter King, Watson B. Laughton, George C. McCormick, Peter E. Grebow, Single-dose pharmacokinetics of modafinil and methylphenidate given alone or in combination in healthy male volunteers. The Journal of Clinical Pharmacology. ,vol. 38, pp. 276- 282 ,(1998) , 10.1002/J.1552-4604.1998.TB04425.X
Joseph V. Baranski, Corinne Cian, Dominique Esquivié, Ross A. Pigeau, Christian Raphel, Modafinil During 64 Hr of Sleep Deprivation: Dose-Related Effects on Fatigue, Alertness, and Cognitive Performance Military Psychology. ,vol. 10, pp. 173- 193 ,(1998) , 10.1207/S15327876MP1003_3
R. PIGEAU, P. NAITOH, A. BUGUET, C. McCANN, J. BARANSKI, M. TAYLOR, M. THOMPSON, I. MACK, Modafinil, d‐amphetamine and placebo during 64 hours of sustained mental work. I. Effects on mood, fatigue, cognitive performance and body temperature Journal of Sleep Research. ,vol. 4, pp. 212- 228 ,(1995) , 10.1111/J.1365-2869.1995.TB00172.X
D P Lagarde, D M Batéjat, Naps and modafinil as countermeasures for the effects of sleep deprivation on cognitive performance. Aviation, Space, and Environmental Medicine. ,vol. 70, pp. 493- 498 ,(1999)
G Bensimon, D Benoit, L Lacomblez, E Weiller, D Warot, JS Weil, AJ Puech, Antagonism by modafinil of the psychomotor and cognitive impairment induced by sleep-deprivation in 12 healthy volunteers European Psychiatry. ,vol. 6, pp. 93- 97 ,(1991) , 10.1017/S0924933800000201