4.8 • 995 Ratings
🗓️ 3 November 2025
⏱️ 32 minutes
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| 0:00.0 | Hi there, it's Matt here and welcome back to the podcast. |
| 0:07.0 | We start today's episode on the athletic track. |
| 0:10.5 | It was the finals of a world-class sprinting event and an odd detail emerged. |
| 0:17.7 | Many of the sprinters at the starting line carried a medical approval for the disorder |
| 0:23.7 | called narcolepsy. That's right. The disorder that makes people suddenly and uncontrollably fall |
| 0:30.6 | asleep in the daytime. On paper, these fastest humans on earth were apparently narcoleptic, which was hard to believe. |
| 0:40.1 | In reality, it was a loophole. |
| 0:42.0 | They had been prescribed a drug called modafinil, normally prescribed for patients with narcolepsy, |
| 0:48.0 | as an alertness performance booster. |
| 0:50.9 | In one high-profile 2003 case, the US champion sprinter, Kelly White, who won two |
| 0:58.5 | gold medals, had them stripped after testing positive for modafinil. She claimed a doctor had |
| 1:06.3 | given it to her for a so-called sleep disorder. It turns out she wasn't alone. Officials went on to |
| 1:12.7 | uncover six to eight similar modafinil cases among elite athletes around that time. In short, |
| 1:20.9 | a lot of Olympians had suddenly, quote-unquote, fallen ill with narcolepsy just to get their hands on this alertness pill. |
| 1:30.8 | The subtext was clear. |
| 1:33.0 | Modafinil had quietly become the secret weapon to cheat sleep and gain an edge. |
| 1:40.3 | Let's talk about this supposed all-nighter in a pill, which I know coming from me, a sleep scientist, |
| 1:46.7 | sounds rather antithetical to all that I speak about on this show. But it's a drug frequently used |
| 1:54.0 | in society, and hence I think it's important that I not shy away from discussing the science |
| 2:00.0 | of modafinil and any pros and any cons. |
| 2:03.6 | And there are cons which will come to. But let's take a step back first, because to me the story of modafinil is really a story about the market for human performance, the market value of your cognitive economy. And markets, as we know, |
| 2:22.0 | have a way of discovering what people want before they even know they wanted. In this case, |
... |
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