Treatment FAQ

what is some treatment for narcolepsy

by Myrtle Goyette Published 2 years ago Updated 2 years ago
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Stimulants. Drugs that stimulate the central nervous system are the primary treatment to help people with narcolepsy stay awake during the day. Doctors often try modafinil (Provigil) or armodafinil (Nuvigil) first for narcolepsy.Nov 6, 2020

Medication

Central nervous system stimulants are the main treatments used for excessive daytime sleepiness in narcolepsy, and these stimulants include Amphetamine, Methylphenidate, Modafinil, Dextroamphetamine and Armodafinil. ( It should be noted that the FDA issued an alert in 2007 for Modafinil, citing severe adverse skin reactions).

Nutrition

76 rows · The following list of medications are in some way related to or used in the treatment of this ...

Can you cure narcolepsy?

What treatments are available? Modafinil. The initial line of treatment is usually a central nervous system stimulant such as modafinil. Modafinil is... Amphetamine-like stimulants. In cases where modafinil is not effective, doctors may prescribe amphetamine-like...

Is there a cure for narcolepsy?

Complementary or alternative medicine alone can’t treat narcolepsy, but it may help with symptoms. Options include: Acupuncture Meditation Massage The Right Balance A mix of medication and...

What are the five signs of narcolepsy?

Nov 06, 2020 · Narcolepsy that occurs without cataplexy is known as type 2 narcolepsy. Narcolepsy is a chronic condition for which there's no cure. However, medications and lifestyle changes can help you manage the symptoms. Support from others — family, friends, employers, teachers — can help you cope with narcolepsy.

What are medications that cause narcolepsy?

Apr 19, 2021 · Formerly known as manic depression, bipolar disorder involves swings of mood, energy, and concentration that may be “up” or “down.”. In at least one person with narcolepsy, treatment for narcolepsy (specifically Modafinil and Venlafaxine) exacerbated manic episodes.

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What drugs treat narcolepsy and ADD?

The stimulant modafinil was found to be both effective and well tolerated in a newly reported nine-week trial involving kids and adolescents with ADHD. Modafinil is approved for daytime sleepiness from conditions such as narcolepsy and obstructive sleep apnea. The drug will be sold as Sparlon for treating ADHD.Dec 6, 2005

What triggers narcolepsy attacks?

It is often triggered by sudden, strong emotions such as laughter, fear, anger, stress, or excitement. The symptoms of cataplexy may appear weeks or even years after the onset of EDS. Some people may only have one or two attacks in a lifetime, while others may experience many attacks a day.Nov 15, 2021

How do you fix narcolepsy?

There's no specific cure for narcolepsy, but you can manage the symptoms and minimise their impact on your daily life. Making some simple changes to your sleeping habits can sometimes help. If your symptoms are more severe, you'll usually need to take medicine.

How can I get rid of narcolepsy naturally?

Natural cures for narcolepsy include:Guarana, which is a natural stimulant.Cayenne pepper.Ginkgo biloba, which increases blood flow to the brain.Ephedra, which increases energy levels.Gotu kola, which reduces fatigue.Rosemary tea.B complex vitamins, which are important in the sleep-wake cycle.More items...•Jun 10, 2021

What are the 5 signs of narcolepsy?

There are 5 main symptoms of narcolepsy, referred to by the acronym CHESS (Cataplexy, Hallucinations, Excessive daytime sleepiness, Sleep paralysis, Sleep disruption). While all patients with narcolepsy experience excessive daytime sleepiness, they may not experience all 5 symptoms.

What can worsen narcolepsy?

Avoid alcohol and caffeine, especially before bedtime. "Alcohol causes sleep fragmentation, which means that it breaks up our sleep," Awad says. Alcohol interrupts the restorative REM sleep stage, which can leave you feeling sleepy the next day, even when you feel like you've had a full night's sleep.Jul 8, 2021

Is narcolepsy a mental illness?

However, narcolepsy is frequently misdiagnosed initially as a psychiatric condition, contributing to the protracted time to accurate diagnosis and treatment. Narcolepsy is a disabling neurodegenerative condition that carries a high risk for development of social and occupational dysfunction.Feb 15, 2018

What happens if narcolepsy goes untreated?

When left untreated, narcolepsy can be socially disabling and isolating. It often leads to the onset of depression. Type 2 diabetes mellitus may occur more often in people with narcolepsy. Making lifestyle changes can help manage the symptoms.

Does B12 help with narcolepsy?

Conclusion: Decreased serum vitamin B12 levels are independently associated with the development of narcolepsy, which illustrates the complex relationship between vitamin B12 and narcolepsy. Future studies should explore whether vitamin B12 supplementation can improve the symptoms of patients.

Does magnesium help narcolepsy?

Certain nutrients, such as magnesium and vitamin B, may help control narcolepsy symptoms. A diet rich in nutrients and low in carbohydrates will optimize the body's performance throughout the day.Oct 5, 2020

Does caffeine Work for narcolepsy?

Conclusion: Our findings suggest that a small dose of caffeine has positive effects on alertness in patients with narcolepsy.

How to treat narcolepsy?

Treatment for narcolepsy can be broken down into two categories: 1 Behavioral approaches employ changes in lifestyle and daily habits to manage symptoms and reduce the likelihood of other physical and emotional challenges that often affect people with narcolepsy. 2 Medications can be prescribed to address symptoms. The use of medications is known as pharmacotherapy.

How many medications do you need to treat narcolepsy?

To treat narcolepsy, doctors usually start with one drug to see how well it works for a specific patient. The dosage or timing of doses may be changed as needed, or the doctor may recommend switching medications if the first is not working or well-tolerated.

What is the name of the disorder where you fall asleep involuntarily?

Narcolepsy is a disorder in which the sleep-wake cycle is significantly altered 1. Its central symptom is excessive daytime sleepiness (EDS), which may involve falling asleep involuntarily, even while eating or driving. People with narcolepsy face safety risks including a three- to four-fold increase 2 in their chances of being in an automobile ...

How to sleep better with narcolepsy?

Practical tips to improve sleep routines for people with narcolepsy include: Keep a consistent bedtime and wake time: A stable sleep schedule can ensure that enough time is budgeted for rest and helps habituate the body to sleeping at set times, including at night.

Why is it important to eat healthy when you have narcolepsy?

Eating a healthy diet is important for everyone, but it takes on added importance for people with narcolepsy because they have an elevated risk of obesity. The timing of meals is important as well. Eating too late at night may interfere with normal digestion and is associated with sleep disruptions 8.

What is the symptom of narcolepsy?

There are two types of narcolepsy 3. Narcolepsy type 1 (NT1) frequently involves a symptom called cataplexy, which is a sudden and brief loss of muscle tone in which the individual is conscious. It is triggered by strong emotions, usually positive ones like laughter.

What is behavioral approach in narcolepsy?

Behavioral approaches employ changes in lifestyle and daily habits to manage symptoms and reduce the likelihood of other physical and emotional challenges that often affect people with narcolepsy. Medications can be prescribed to address symptoms. The use of medications is known as pharmacotherapy.

What is the best treatment for narcolepsy?

Central nervous system stimulants are the main treatments used for excessive daytime sleepiness in narcolepsy, and these stimulants include Amphetamine, Methylphenidate, Modafinil, Dextroamphetamine and Armodafinil.

Can narcolepsy run in families?

The symptoms of narcolepsy are generally first noticed in young adults or teenagers, but narcolepsy can occur in both women and men at any age. In fact, there’s strong evidence that narcolepsy could run in families, because approximately 10% of people diagnosed with narcolepsy with cataplexy already have a close family member with this neurological disorder. As mentioned previously, narcolepsy can be confused with depression, and it’s true that there is a link between these two disorders. The co-occurrence of depression in narcolepsy patients has produced mixed results, though, with different studies producing numbers anywhere between 6% and 50%.

Is narcolepsy a depression?

As mentioned previously, narcolepsy can be confused with depression, and it’s true that there is a link between these two disorders. The co-occurrence of depression in narcolepsy patients has produced mixed results, though, with different studies producing numbers anywhere between 6% and 50%. Author. Recent Posts.

Can narcolepsy be cured?

Although people suffering from narcolepsy can’t be cured, they can be helped. Treatment for this disorder is tailored to each individual and is based on the person’s symptoms and therapeutic response. It could well take months, or even longer, to achieve effective control of symptoms.

Is narcolepsy a neurological disorder?

Narcolepsy can be described as a neurological condition involving a person’s reduced ability to manage the sleep-wake cycle. Although people suffering from narcolepsy can’t be ...

Is narcolepsy more common than fibrosis?

In fact, narcolepsy is as prevalent as Multiple Sclerosis and Parkinson’s disease, and more common than Cystic Fibrosis, but unfortunately it’s just not as well known. The reason for this is that narcolepsy can often be confused with epilepsy, depression, or the side-effect of medications.

Is it hard to control narcolepsy?

It’s extremely difficult to fully control the symptoms of narcolepsy, and medication adjustments are often necessary . Lifestyle changes are also very important for people suffering from narcolepsy, with oral medications being the mainstay of treatment.

Narcolepsy Treatment

Narcolepsy is a neurological condition that inhibits one’s ability to control and regulate sleep-wake cycles. There is no known cure for narcolepsy, but there are a variety of treatments 1 to alleviate and control the symptoms of narcolepsy.

Medications to Treat Narcolepsy

There are several medications that can combat and help reduce the effects of narcolepsy. Typically, these medications fall into two categories: stimulants that promote alertness and wakefulness; and anti-depressants and sedatives that help ensure a more regulated sleep, treat cataplexy, and can decrease overall anxiety.

Lifestyle changes

Because narcolepsy is a chronic lifelong condition with a wide range of different symptoms and causes, it is important to seek medical help to determine the right combination of medication and lifestyle adjustments. Besides medications, there are several ways people can adapt their lifestyle to reduce the effects of narcolepsy.

What are the symptoms of narcolepsy?

The symptoms of narcolepsy can have notable effects during both daytime and night time. The most common symptoms include: Excessive daytime sleepiness (EDS): EDS is the cardinal symptom of narcolepsy, affecting all people with the disorder. EDS involves an urge to sleep that can feel irresistible, and it arises most frequently in monotonous ...

What is narcolepsy sleep disorder?

Narcolepsy is a sleep disorder that is often misunderstood. It is characterized by severe and persistent daytime sleepiness that can cause impairments in school, work, and social settings as well as heighten the risk of serious accidents and injuries.

How long does cataplexy last?

Cataplexy normally affects both sides of the body and lasts for a few seconds to a few minutes. Some people with NT1 only have episodes of cataplexy a few times per year, while others can have a dozen or more episodes per day. Although all people with narcolepsy have EDS, less than a quarter have all of these symptoms.

What is the disorder that disrupts sleep-wake processes?

Narcolepsy is a disorder that disrupts sleep-wake processes. Its primary symptom is excessive daytime sleepiness (EDS), which occurs because the brain is unable to properly regulate wakefulness and sleep 1.

How rare is narcolepsy?

Narcolepsy is relatively rare. NT1 affects between 20 and 67 people per 100,000 in the United States. According to a population based study in Olmstead county Minnesota, NT1 is two to three times more common 4 than NT2, which is estimated to affect between 20 to 67 people per 100,000.

How long does narcolepsy go undiagnosed?

Because it is rare and symptoms may be mistakenly attributed to other causes, narcolepsy can go undiagnosed for many years. The diagnostic process starts with a review of symptoms and medical history.

Is narcolepsy a health issue?

The symptoms of narcolepsy can have significant consequences for a patient’s health and wellness. Accidents are a pressing concern as sleep attacks, drowsiness, and cataplexy can be life-threatening when driving or in other environments where safety is critical.

What is the diagnosis of narcolepsy?

This diagnosis is based on the individual either having low levels of a brain hormone (hypocretin) or reporting cataplexy and having excessive daytime sleepiness on a special nap test.

What is the sleep stage of narcolepsy?

Dreams occur during REM sleep, and the brain keeps muscles limp during this sleep stage, which prevents people from acting out their dreams. People with narcolepsy frequently enter REM sleep rapidly, within 15 minutes of falling asleep.

How long does it take to get narcolepsy diagnosed?

Since people with narcolepsy are often misdiagnosed with other conditions, such as psychiatric disorders or emotional problems, it can take years for someone to get the proper diagnosis.

What is it called when you wake up tired and feel sleepy?

Narcolepsy is a chronic neurological disorder that affects the brain’s ability to control sleep-wake cycles. People with narcolepsy may feel rested after waking, but then feel very sleepy throughout much of the day. Many individuals with narcolepsy also experience uneven and interrupted sleep that can involve waking up frequently during the night.

How long does it take for cataplexy to appear?

The symptoms of cataplexy may appear weeks or even years after the onset of EDS. Some people may only have one or two attacks in a lifetime, while others may experience many attacks a day. In about 10 percent of cases of narcolepsy, cataplexy is the first symptom to appear and can be misdiagnosed as a seizure disorder.

What is the NINDS?

The NINDS is a component of the National Institutes of Health ( NIH ), the leading supporter of biomedical research in the world. The NINDS, along with several other NIH Institutes and Centers, supports research on narcolepsy and other sleep disorders through grants to medical institutions across the country.

Why are neurons important in narcolepsy?

These neurons are important for stabilizing sleep and wake states. When these neurons are gone, changes between wake, REM sleep, and non-REM sleep can happen spontaneously. This results in the sleep fragmentation and daytime symptoms that people with narcolepsy experience.

What are the best medications for narcolepsy?

Drugs that act as stimulants and/or reduce the other symptoms of narcolepsy are standard treatments for the condition. They include: Armodafinil ( Nuvigil ): This drug is similar to Provigil. It is also used to reduce excessive daytime sleepiness. Headache and nausea are the most common side effects. Methylphenidate Hcl ( Daytrana, Ritalin ...

How to help narcolepsy stay awake?

It has proven effective in helping patients stay awake for longer periods of time. Home Remedies for Narcolepsy. There are several things you can do at home to help improve the symptoms of narcolepsy and include the following: Maintain a regular sleep schedule.

Can narcolepsy be taken one day a week?

Therefore, some doctors advise people with narcolepsy to abstain from taking it one day each week (typically on a weekend).

What is narcolepsy sleep disorder?

Overview. Narcolepsy is a chronic sleep disorder characterized by overwhelming daytime drowsiness and sudden attacks of sleep. People with narcolepsy often find it difficult to stay awake for long periods of time, regardless of the circumstances. Narcolepsy can cause serious disruptions in your daily routine.

What are the signs of narcolepsy?

Interference with intimate relationships. Intense feelings, such as anger or joy, can trigger signs of narcolepsy such as cataplexy , causing affected people to withdraw from emotional interactions. Physical harm. Sleep attacks may result in physical harm to people with narcolepsy.

How long does it take to go to REM sleep with narcolepsy?

People with narcolepsy often transition quickly to REM sleep, usually within 15 minutes of falling asleep. Hallucinations. These hallucinations are called hypnagogic hallucinations if they happen as you fall asleep and hypnopompic hallucinations if they occur upon waking.

What is the difference between narcolepsy and cataplexy?

Sometimes, narcolepsy can be accompanied by a sudden loss of muscle tone (cataplexy), which can be triggered by strong emotion. Narcolepsy that occurs with cataplexy is called type 1 narcolepsy. Narcolepsy that occurs without cataplexy is known as type 2 narcolepsy.

Why do people with narcolepsy have low levels of hypocretin?

People with type 1 narcolepsy have low levels of the chemical hypocretin (hi-poe-KREE-tin). Hypocretin is an important neurochemical in your brain that helps regulate wakefulness and REM sleep. Hypocretin levels are particularly low in those who experience cataplexy.

How many episodes of cataplexy do you have with narcolepsy?

For example, when you laugh, your head may droop uncontrollably or your knees may suddenly buckle. Some people with narcolepsy experience only one or two episodes of cataplexy a year, while others have numerous episodes daily. Not everyone with narcolepsy experiences cataplexy. Sleep paralysis.

What are the characteristics of narcolepsy?

Other characteristics. People with narcolepsy may have other sleep disorders, such as obstructive sleep apnea — a condition in which breathing starts and stops throughout the night — restless legs syndrome and even insomnia. Some people with narcolepsy experience automatic behavior during brief episodes of narcolepsy.

Why is narcolepsy common in children?

The researchers concluded that narcolepsy in children is likely related to dysfunction in the hypothalamus, the region of the brain where hypocretin is produced, and its relationship to the production of hormones that mediate puberty and metabolism.

What is the condition that causes muscle weakness?

Conditions Related To Narcolepsy. Narcolepsy is a sleep disorder that causes symptoms including excessive daytime sleepiness and cataplexy – sudden attacks of muscle weakness that may be triggered by strong emotion.

What is the name of the disorder that causes a person to stop breathing intermittently during sleep?

Obstructive Sleep Apnea. Obstructive sleep apnea (OSA) is a sleep disorder that causes a person to stop breathing intermittently during sleep. Approximately 3 percent to 7 percent of the population has OSA.2 Like narcolepsy, OSA is associated with excessive daytime sleepiness. OSA is common in people with narcolepsy.

What percentage of people have restless legs?

About 5 percent of the U.S. population has restless legs syndrome (RLS), a neurological sleep-related movement disorder that causes uncomfortable sensations in the legs that become worse with rest or at night. However, between 15 percent and 20 percent of people with narcolepsy experience RLS. In about half of RLS cases, restless legs syndrome runs ...

What is periodic limb movement disorder?

Also known as periodic limb movements disorder (PLMD), periodic limb movement syndrome (PLMS) is another sleep-related movement disorder that can disrupt sleep and contribute to daytime sleepiness. PLMS causes rapid, repetitive twitching movements of the limbs during sleep. PLMS may occur with or without RLS in people with narcolepsy.

Why is sleep important for narcolepsy?

Sleep is thought to help us protect and regulate the process of forming emotional memories and to contribute to healthy emotional reactivity. Sleep loss, on the contrary, makes it harder to modulate emotion. Treatments for psychiatric disorders may make it more difficult for doctors to diagnose narcolepsy.

Is narcolepsy precocious?

Precocious Puberty. The development of narcolepsy in childhood is strongly associated with precocious puberty and obesity. ( Precocious puberty is defined as puberty starting before age 8 in girls and age 9 in boys.) In an Italian study published in 2013, researchers evaluated 42 children with narcolepsy.

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Diagnosis

Treatment

Clinical Trials

Coping and Support

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Medications and lifestyle modifications help to manage the symptoms.
Medication

Stimulants: Drugs that provoke the central nervous system to help individuals to remain wakeful during the day time.

Modafinil . Armodafinil


Serotonin reuptake inhibitors: Suppress REM sleep, to help ease the indications of cataplexy, hallucinations and sleep paralysis.

Fluoxetine


Tricyclic antidepressants: Drugs used to treat depression. Usually recommended in rare cases.

Protriptyline


Central nervous system depressant: It is highly effective for treating cataplexy. Usually recommended in rare cases.

Sodium oxybate

Nutrition

Foods to eat:

  • Consume a healthy balanced diet with fresh fruit and vegetables. Intake of moderate quantities of poly-unsaturated fatty acids may be helpful (soy oil, castor bean oil or sunflower oil).

Foods to avoid:

  • NA

Specialist to consult

Somnologist
Specializes in the diagnosis and therapy of sleep disturbances and disorders.
Pulmonologist
Specializes in diagnosing and treating conditions that affect the respiratory system.

Preparing For Your Appointment

  • Your doctor may make a preliminary diagnosis of narcolepsy based on your excessive daytime sleepiness and sudden loss of muscle tone (cataplexy). After an initial diagnosis, your doctor may refer you to a sleep specialist for further evaluation. Formal diagnosis requires staying overnigh…
See more on mayoclinic.org

Medications to Treat Narcolepsy

  • There is no cure for narcolepsy, but medications and lifestyle modifications can help you manage the symptoms.
See more on mayoclinic.org

Lifestyle Changes

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

Master Sources List For Narcolepsy

  • Dealing with narcolepsy can be challenging. Making adjustments in your daily schedule may help. Consider these tips: 1. Talk about it. Tell your employer or teachers about your condition and work with them to find ways to accommodate your needs. This may include taking naps during the day, breaking up monotonous tasks, recording meetings or classes, standing during meetings or lect…
See more on mayoclinic.org

Resources

  • You're likely to start by seeing your family doctor. However, in some cases when you call to set up an appointment, you may be referred to a sleep specialist. Here's some information to help you prepare for your appointment.
See more on mayoclinic.org

What Is Narcolepsy?

  • There are several medications that can combat and help reduce the effects of narcolepsy. Typically, these medications fall into two categories: stimulants that promote alertness and wakefulness; and anti-depressants and sedatives that help ensure a more regulated sleep, treat cataplexy, and can decrease overall anxiety. One of the most common pharm...
See more on sleepassociation.org

Types

  • Because narcolepsy is a chronic lifelong condition with a wide range of different symptoms andcauses, it is important to seek medical help to determine the right combination of medication and lifestyle adjustments. Besides medications, there are several ways people can adapt their lifestyle to reduce the effects of narcolepsy. Some of the key lifestyle changes that can help alle…
See more on sleepassociation.org

How Common Is Narcolepsy?

Symptoms

What Are The Effects of Narcolepsy?

Causes

Diagnosis

Treatments

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