Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Modafinil (Provigil) and testosterone gel (Testim, AndroGel, Fortesta, Vogelxo) are both prescription medications, but they serve very different purposes. Modafinil is a wakefulness-promoting agent used to treat excessive sleepiness due to conditions like narcolepsy, obstructive sleep apnea, or shift work disorder. It is taken orally once a day and is a Schedule IV controlled substance due to its potential for misuse. Common side effects include headache and nausea. On the other hand, testosterone gel is used to treat low testosterone levels in adult males and is applied topically once a day. It is a Schedule III controlled substance and carries risks of skin irritation and accidental transfer to others through skin contact. While modafinil affects the central nervous system to promote wakefulness, testosterone gel works by replacing or supplementing the natural hormone in the body. Both medications have serious side effects and risks, including heart problems for modafinil and potential for misuse and dependency for testosterone gel.
Modafinil (Provigil)
Testosterone gel
Modafinil (Provigil)
Testosterone gel
Summary of Provigil vs. Androgel
Summary for Wakefulness-promoting agent
Prescription only
Modafinil (Provigil) is a prescription medication used to improve wakefulness in people who have extreme sleepiness due to narcolepsy, obstructive sleep apnea, or shift work disorder. It's considered a controlled substance since this medication has a potential to cause misuse. You should avoid alcohol while taking modafinil (Provigil), as well as certain other medications to avoid any serious interactions and side effects. Common side effects of modafinil (Provigil), however, include headache and nausea.
Summary for Testosterone replacement
Prescription only
Testosterone gel is used to treat low testosterone in adult males. It's convenient to use because you only have to apply it to your skin once a day. But compared to other forms of testosterone, there's a higher risk of exposing others to the medication through skin-to-skin contact.