Hi there, A detailed medical and psychological history and mental status examination is always needed to come to a diagnosis and the management of the accordingly. Your question deviate from the health issues related questions asked by the patients. There are a number of causes where changes of prolactin levels are seen. Metabolic changes can occur in males and females can occur. Although there are CNS causes but majority of the times we see drugs induced levels and antidepressants and antipsychotics do play the role. Age and premorbid functioning of reproductive health is important and so are the libido problems associated with the psychiatric disorders. As per the literature, Drug induced hyperprolactonemia with Armodafinil is not mentioned in the majority of the studies is not mentioned.Headache etc are mentioned as the common side effects. But if such worry is happening, Prolactin levels can be done before starting and during the treatment period. This drug is to be taken under the supervision of a mental health professional and not by itself.

Armodafinil has been seen effective in sexual dysfunction patient due to its activity on dopaminergic system . Theoretically speaking it can decrease prolactin level due to activity on dopaminergic system