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Doctor insights on: Difference Between Narcolepsy And Sleep Apnea

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Is there any significant difference in effectiveness and side effects between armodafinil/ Nuvigil and modafinil/ Provigil for narcolepsy/sleep apnea?

Is there any significant difference in effectiveness and side effects between armodafinil/ Nuvigil and modafinil/ Provigil for narcolepsy/sleep apnea?

Nuvigil is the right: Side of the Provigil molecule. Efficacy & side effects are the same. See http://www. Diffen. Com/difference/Nuvigil_vs_Provigil. Provigil now comes in a generic form. Nuvigil may last a little longer, causing more risk of insomnia. Both are FDA-approved for narcolepsy, Obstructive Sleep Apnea for the 30% of CPAP or BiPAP users who don't respond optimally to their use alone & shift worker disorder. ...Read more

Dr. Patricia Mcgarry
445 Doctors shared insights

Obstructive Sleep Apnea (Definition)

Sleep apnea has two causes. It may be 'central' or 'obstructive'. Central apnea occurs as a disorder in the way the brain controls breathing. Obstructive sleep apnea is much more common and involves an anatomical blockage of the airway. Usually, the tongue blocks the airway, preventing the passage of air between the a sleep study is needed to diagnose particular ...Read more


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Can you have sleep apnea and narcolepsy? What is the test for narcolepsy?

Can you have sleep apnea and narcolepsy? What is the test for narcolepsy?

SEE A SPECIALIST: Narcolepsy and sleep apnea are sleep disorders with different origins. I would see a sleep specialist, such as a pulmonologist, who can give you the answers to your questions. ...Read more

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I am wondering how do doctors treat people with diseases like narcolepsy, sleep apnea or chronic fatigue?

I am wondering how do doctors treat people with diseases like narcolepsy, sleep apnea or chronic fatigue?

It varies.: For sleep apnea, the most common treatment is a pap device - it splints the airway open to prevent the repetitive airway blockage that fragments sleep. For narcolepsy, typically we utilize stimulant therapy and sometimes a medication called xyrem. It would be important to determine the correct diagnosis and then develop a treatment plan with your physician. ...Read more

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I have narcolepsy, cataplexy, sleep apnea, and depression and I weigh right at 300 pounds I can not seem to lose any weight any advice would be great?

I have narcolepsy, cataplexy, sleep apnea, and depression and I weigh right at 300 pounds I can not seem to lose any weight any advice would be great?

FATIGUE WITH OSA: Provigil is cheaper and better tolerated than Nuvigil. Also adderal/Ritalin/Starttera can help. Start a gluten free diet Wholeapproach. Com gut bliss. Com. If CPAP/BIPAP is poorly tolerated seek ENT CONSULT for UPP/ vs Hyoid suspension. ALSO FOCUS ON WEIGHT LOSS. TOPAMAX (topiramate) IS effective FOR. RLS AND WEIGHT LOSS. ...Read more

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Prev dr said I may have narcolepsy but I don't have vivid dreams or sleep paralysis but I have daytime sleepiness & moderate sleep apnea. Thoughts?

Prev dr said I may have narcolepsy but I don't have vivid dreams or sleep paralysis but I have daytime sleepiness & moderate sleep apnea. Thoughts?

Treatment: Anything that causes sleep fragmentation (apnea, pain, leg kicking, etc) leads to sleepiness. So even before testing for narcolespy in sleep lab setting you would have to confirm that the apnea is well controlled and not contributing to waking. Sometimes sleepiness is persistent because of years of apnea and there is med for that. .. See someone specialized in these disorders and do your homewk. ...Read more

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33/m, constant tiredness, difficulty waking, using fire alarm to wake me.75 min+ of fire alarm and wife shaking me. Sleep intertia. No narcolepsy/apnea.

33/m, constant tiredness, difficulty waking, using fire alarm to wake me.75 min+ of fire alarm and wife shaking me. Sleep intertia. No narcolepsy/apnea.

Get Sleep Study: It is hard to say what is going on just based on this description. Even though you deny, you probably have narcolepsy. You will need an overnight sleep study with eeg monitoring. This is usually done in a sleep lab. ...Read more

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Can one have both sleep apneas & narcolepsy?

Can one have both sleep apneas & narcolepsy?

Sure: In narcolepsy, you just skip all the early phases of sleep, and just go to sleep immediately and at inappropriate times and places. Once alseep, you are not immune to the potential of blockage of the airway and apneas that everyone else has. So you can be narcoleptic, and experience apnea once you are asleep. ...Read more

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What is the difference between central sleep apnea and regular apnea?

What is the difference between central sleep apnea and regular apnea?

Obstruction vs CO2: Central apnea is caused by the brain's inability to respond to elevated co2 (carbon dioxide) levels in the blood. Obstructive sleep apnea is caused by the collapse of the airway when the muscles of the throat, tongue, and possibly the palate when they are flaccid/paralyzed during the deeper stages of sleep. Osa responds well to CPAP and dental devices. Central may not. ...Read more

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What's the difference between sleep apnea and nocturnal hypoxemia?

What's the difference between sleep apnea and nocturnal hypoxemia?

Overlap: Nocturnal hypoxia is a drop in oxygen in the blood when sleeping. It's associated with sleep apnea, but also with hypoxic chronic bronchitis pulmonary hypertension and emphysema. Sleep apnea can be due to airway obstruction or of central origin. It causes reduced oxygen, often dangerously, and arousal from sleep, leading to daytime fatigue. ...Read more

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What is the difference between nocturnal panic attacks and sleep apnea?

What is the difference between nocturnal panic attacks and sleep apnea?

Different problems: Sleep apnea is a breathing-related sleep disorder involving brief periods that a person stops breathing while sleeping. This triggers an alarm system in the brain to wake the person up so he/she will start breathing again. Nocturnal panic attacks are discrete periods involving extreme anxiety associated with physiological changes in heart rate, breathing, sweating, etc. That occur at night. ...Read more

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I have mg. Can you explain the difference between cpap and bipap titration study. I am scheduled for both for my sleep apnea and mg.

I have mg. Can you explain the difference between cpap and bipap titration study. I am scheduled for both for my sleep apnea and mg.

Differences: CPAP is continuous and bipap is bilevel positive airway pressure. Bipap can be more helpful with neuromuscular disease than traditional CPAP alone because it can help with breathing mechanisms, particularly helpful in folks with a combined functional muscle or nerve problem. Both mechanisms, the breathing structure has to be in place as opposed to sv/st ventilation type of bipap. ...Read more

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What are the differences between sleep apnea and nocturnal hypoxemia?

What are the differences between sleep apnea and nocturnal hypoxemia?

2 different condtion: Sleep apnea is when there is a cessation of airflow with sleep and breathing. The most common type of sleep apnea is obstructive sleep apnea when the upper airway gets blocked. Nocturnal hypoxia is a general term for low oxygen with sleep. Sleep apnea can cause nocturnal hypoxia, though many other conditions can cause nocturnal hypoxia without sleep apnea such as copd or heart disease. ...Read more

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My husband has been diagnosed with idiopathic and obstructive sleep apnea, is there a difference in disease course with the additional diagnosis?

My husband has been diagnosed with idiopathic and obstructive sleep apnea, is there a difference in disease course with the additional diagnosis?

Ideopathic: Means the cause is unknown. Obstructive means his airway is being blocked. Sleep Apnea means there are periods during the night when your husband stops breathing.
This is a fairly serious condition which should be treated right away. The most common and often effective treatment is CPAP or Continuous Positive Airway Pressure. See a certified sleep physician for treatment. ...Read more

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How long does it take for you to feel a difference when using a cpap machine for sleep apnea?

Depends: It depends. Some people feel an immediate effect, others take time. It does depend on how severe the apnea is too. Continue to use CPAP and follow up with your sleep physican for compliance and to make sure the pressure is adequate to treat your apnea. ...Read more

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While I'm awake does lying on my back or my belly make any difference to breathing that tells if I have sleep apnea prior to sleep studu?

While I'm awake does lying on my back or my belly make any difference to breathing that tells if I have sleep apnea prior to sleep studu?

Probably not: Probably not so much while you are awake. That is why we assess for sleep apnea with an overnight sleep study to monitor your breathing while you are asleep. ...Read more

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Is there a negative connection: a) enjoy sauna about 5 per week b) obstructive (or central) sleep apnea these both started about february 2011.?

Is there a negative connection: a) enjoy sauna about 5 per week b) obstructive (or central) sleep apnea these both started about february 2011.?

Not likely: Osa is primarily an anatomy-mediated phenomenon that results when the muscles of the body go into protective "paralysis" to prevent us from acting out our dreams. An unfortunate side effect is that the muscle tone of the tongue and palate fail to contract when one inhales as it dies while awake. If your anatomy puts you at risk it will happen. Awareness of a problem dies not equal the start of it. ...Read more

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Can sleep apnea tests ever be wrong?

Can sleep apnea tests ever be wrong?

Yes, it's possible: Most attended sleep studies (where you spend the night at a sleep center) are very accurate. The take-home types of study are helpful for screening, but not nearly as much data or accuracy. That being said, all sleep studies are flawed to some extent as we do sleep differently on different nights. Repeat studies are the best, but at additonal time and expense. ...Read more

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How can I treat obstructive sleep apnea?

How can I treat obstructive sleep apnea?

CPAP: The treatment involves sleeping with a pressurized mask called cpap. In sleep apnea, excessive soft tissue in the throat, can relax during deep sleep, this blocks the airway and drops oxygen levels, disrupting sleep and causing other problems. A mask hooked to a machine that applies a low level of air pressure keeps the airway open. Many with osa are overweight and weight loss also helps much. ...Read more

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How can you get a sleep apnea test done?

How can you get a sleep apnea test done?

Sleep MD or DDS: Sleep testing for osa can be done either in a sleep center or at home. There are sleep medicine specialists, also called sleep physicians. Valid home sleep, studies can be arranged and conducted in the privacy of your own bedroom. Dentists involved with snoring can arrange a home test as well, and the tests are interpreted by a sleep physician. Ask your md or dds for a referral or a home test. ...Read more

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Can sleep apnea become a chronic condition?

Can sleep apnea become a chronic condition?

Yes: By definition sleep apnea is a chronic medical condition. The only mechanism by which it "goes away" is with CPAP (used nightly), surgery, (mouth guard used nightly) and/or weight loss. ...Read more

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What does central sleep apnea syndrome mean?

What does central sleep apnea syndrome mean?

Central sleep apnea: It means that your brain is not sending the "you have to breath signal" to your chest and lungs. Your airways remain open in this case. You will need a special ventilator that breath for you when you don`t get the order. ...Read more

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How do I eliminate an obstructive sleep apnea?

Evaluation First: First seek evaluation by a sleep doctor. Once the etiological factors and degree of obstruction is determined - a treatment plan can be outlined. ...Read more

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If I have central sleep apnea will a mad help?

If I have central sleep apnea will a mad help?

Sleep apnea: Mads are designed to treat obstructive sleep apnea. They are not considered appropriate for central apneas. ...Read more

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How do I find free way to diagnose sleep apnea?

How do I find free way to diagnose sleep apnea?

You probably won't: Unless you have a buddy who owns a sleep center, it is unlikely that you will get your diagnosis without some cost to you. The only way to accurately diagnose sleep apnea is to have an overnight sleep study done at a center. The good news is that many insurances do pay for this. If you are uninsured, cost is around $5000 in my area. Sa is dangerous. If you think you might have it, get a study. ...Read more

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What can be done to comfort someone with sleep apnea?

Depends on details: It depends on what you mean by comfort. Most people are not aware they are having sleep apnea events. If they are being treated for osa, follow-up with the sleep specialists with your concerns. Adjustments to therapy may be needed. ...Read more

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Is it possible to have sleep apnea symptoms during the day?

Yes: Feeling sleepy and unable to focus during the day, falling asleep when you don’t intend to and not having a “clear head” are all symptoms of sleep apnea. If you believe you might have sleep apnea, see a sleep physician and have a sleep study done. This will provide the answers you seek. ...Read more

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Which is worse: obstructive sleep apnea or central sleep apnea?

Which is worse: obstructive sleep apnea or central sleep apnea?

Both: Both are serious conditions, manageable with treatment, and serious if neglected. The severity varies in every particular case, the classification is not intended to determine which one is milder, they just have different ways to treat them. In general, treatment compliance is an important factor that affects treatment outcomes of both. ...Read more

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Help please! Is exercising advisable when you have sleep apnea?

Absolutely: Another benefit to exercise is that it can help get you to sleep faster and perhaps deeper. However, without a CPAP or an oral appliance to help with the sleep apnea, you likely won't adequately recover from the exercise. There is no substitute for an open airway. ...Read more

Dr. Patrick Melder
1,062 Doctors shared insights

Apnea (Definition)

This is the cessation of breathing for 10 seconds or more. Most apnea is obstructive being caused by collapse or obstruction of the airway leading to lack of air flow. However, it can be a central process, where the respiratory center of the brain fails to signal the respiratory respiratory system to initiate a breath. Lastly, some apnea is mixed central ...Read more


Dr. Michelle Zetoony
287 Doctors shared insights

Narcolepsy (Definition)

A condition characterized by extreme sleepiness every few hours during the day and frequent, unexpected sleep attacks. This sleep disorder is believed to be caused by a decrease in a protein in the brain. There is no cure for narcolepsy, but its ...Read more