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United States Department of Defense drug testing laboratories utilize immunoassay screening followed by confirmatory testing with gas chromatography-mass spectrometry or liquid chromatography-tandem mass spectrometry, with analytical methods validated for the detection of modafinil and its metabolites in urine specimens. American sleep medicine specialists emphasize that different formulations can produce significantly different pharmacokinetic profiles, affecting onset of action, peak effect, and duration of wakefulness promotion, and that patients should not assume equivalence between standard and modified-release formulations.
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