Andrew started his college graduation day at 6 a.m. with a wakefulness agent called modafinil, sometimes known as Provigil—it was the first time he remembers nootropic brain drugs having such a startling effect. He was juggling family and celebrations along with two ceremonies, engineering in the morning and economics in the afternoon, with a band competition in between, which he won. For 22 waking hours he was happy, alert, firing on all cylinders, oblivious to any fatigue. “At that point, it was like, ‘Holy crap, this stuff can be very powerful,’ ” Andrew told the Observer. Now that he’s a...