A member asked:

A day every wk or 2 am so tired, dozing off while walking. sleep dr. seems to ignore complaint. i question if i need stimulant. do sleep drs prescribe?

6 doctors weighed in across 3 answers

Get another opinion: Before taking stimulants, you need to be sure there is no underlying medical condition. Sleep apnea comes to mind, but also an underactive thyroid, anemia, and chronic hepatitis are a few of the possible causes of fatigue. Perhaps there is a lifestyle issue as well. How are you sleeping? Do you eat healthy food? Are you drinking too much alcohol? If your doc won't check, ask another.

Answered 4/27/2014

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Dont understand ?: If you are having daytime somnolence, your doctor needs to help you find a cause. My best guess, particularly if you are overweight is that you have sleep apnea, which a sleep doctor can determine with a sleep study (polysomnography). Nobody should prescribe anything, let alone a stimulant, until a diagnosis is made. If you are overweight, lose weight. If dr doesnt listen, get second opinion.

Answered 5/13/2014

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Dr. Paul Grin answered

Specializes in Pain Management

See your PCP: and request ambulatory sleep test. A sleep disturbance is any condition that prohibits one from achieving restful, restorative sleep. These disturbances may be primary or occur secondarily because of medical or psychological problems.

Answered 1/5/2015

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