While you take a Modalert 200 mg tablet, your doctor may advise you to have an electrocardiogram (ECG). Your heart rate, blood pressure, and other vital signs will be tracked in addition to a 200 mg dose of modafinil. If you recently had a heart attack, arrhythmias (irregular heartbeats), uncontrolled or moderate-to-high blood pressure, or any of these conditions, you shouldn't take modafinil in the 200 mg dosage.

Modafinil 200 mg capsules should not be taken by anybody with liver or kidney disease, depression, anxiety, low mood, psychosis, mania, bipolar disorder, alcoholism, or a history of using illicit drugs.

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