SDN Members don't see this ad. (About Ads) I've noticed that nootropics are gaining popularity these days especially for off label use. Modafinil a drug used to treat narcolepsy and shift work sleep disorder has become popular among students who want to pull all-nighters or just get an some extra help in concentration. I'm curious about the prevalence of use of nootropics and recreational drugs among medical students. These topics of discussion are often avoided among classmates because of the ethical ambiguity of using off label drugs to get an edge. To be honest I got some modafinil (http://en.wikipedia.org/wiki/Modafinil) from a classmate and tried it over a three day period because I was curious about the effects and I wanted to determine if I was at a disadvantage to those who were using off label drugs regularly. For me modafinil had no beneficial effects, in fact made me anxious, but others have swore that it helped them focus for long periods of time. Has anyone else used nootropics or other drugs and how was the experience? Or what's your view on whether this is unfair or not in medical school?