Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Modafinil (Provigil) and Adderall (dextroamphetamine / amphetamine salts) are both medications used to treat narcolepsy, a condition that causes excessive daytime sleepiness. However, they belong to different medication classes and have distinct uses and effects. Modafinil is a wakefulness-promoting agent, while Adderall is a stimulant. Modafinil is also used for shift work disorder and obstructive sleep apnea. Adderall is primarily used for attention-deficit hyperactivity disorder (ADHD) and narcolepsy. Modafinil is typically taken once daily, while Adderall may need to be taken multiple times a day due to its shorter duration of action. Adderall is also available in extended release forms like Adderall XR that may only need to be taken once daily. Both modafinil and Adderall are available as generics. They have different side effects and interactions; modafinil can cause headaches and nausea, and it may interact with hormonal birth control and other medications. Adderall can lead to trouble sleeping and loss of appetite. It can also interact with medications that affect serotonin levels, increasing the risk of serotonin syndrome. Both medications have a risk of misuse and dependence because they are controlled substances.
Modafinil (Provigil)
Adderall
Modafinil (Provigil)
Adderall
Summary of Modafinil vs. Adderall
Summary for Wakefulness-promoting agent
Prescription only
Modafinil (Provigil) helps improve wakefulness in adults with narcolepsy, obstructive sleep apnea, or shift work disorder. This wake-promoting medication comes as a tablet that’s taken by mouth. For adults with narcolepsy or sleep apnea, you take a dosage once daily in the morning. And for those with shift work disorder, you take your dosage 1 hour before the start of your work shift. Common side effects include headache and nausea. Modafinil (Provigil) is a controlled substance because of its potential for misuse.
Summary for Stimulant
Prescription only
Adderall is a stimulant medication that's used to treat attention deficit-hyperactivity disorder (ADHD) and narcolepsy in adults and children. It contains the instant-release (IR) forms of dextroamphetamine and amphetamine salts. Adderall is available as a brand-name and lower-cost generic tablet that's taken by mouth. Your psychiatrist will adjust the dosage for you based on how well the medication works for you. Common side effects include trouble sleeping and loss of appetite.