NancyLebovitz comments on Open Thread September, Part 3 - Less Wrong
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Also, there are idiosyncratic reactions-- I know one person who found that Modafinil made him sleep-- a lot. It was very refreshing-- possibly deeper than his usual sleep.
This seems to be very rare, or at least I haven't heard of it happening to anyone else, but I think it implies that you should try the drug for the first time when it isn't important that it works.