Your doctor can suggest obtaining an electrocardiogram while you're taking a Modalert 200 mg tablet (ECG). Together with a 200 mg dose of Modafinil, your heart rate, blood pressure, and other vital signs will be monitored. You shouldn't take modafinil in the 200 mg dosage if you've recently experienced a heart attack, arrhythmias (irregular heartbeats), out-of-control or moderate-to-high blood pressure, or any of these disorders.

Only people with liver or renal disease, depression, anxiety, low mood, psychosis, mania, bipolar disorder, alcoholism, or a history of using recreational drugs should use modafinil 200 mg capsules with great caution.

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