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Modalert 200 is a prescription medication primarily used to treat narcolepsy, obstructive sleep apnea, and shift work sleep disorder. Its active ingredient is Modafinil, a wakefulness-promoting agent that helps increase alertness and reduce excessive daytime sleepiness. How Does Modalert 200 Work? Modalert 200 works by affecting certain chemicals in the brain that are involved in regulating sleep and wakefulness. Unlike traditional stimulants, Modafinil promotes wakefulness without causing the jitteriness or agitation often associated with other stimulants.