Your doctor can advise having an electrocardiogram while you're taking a Modalert 200 mg tablet (ECG). Together with a 200 mg dose of Modalert, your blood pressure and heart rate will be checked. Modafinil should not be taken in the 200 mg dosage if you've recently experienced a heart attack, arrhythmias (irregular heartbeats), or out-of-control or moderate-to-high blood pressure.

Those who have liver or renal disease, depression, anxiety, low mood, psychosis, mania, bipolar illness, alcoholism, or a history of using recreational drugs should use Modafinil 200 mg pills with caution.

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