Doctor insights on:
Does Xyrem Work Well For Cataplexy
The syndrome of narcolepsy, which causes daytime sleep attacks, may be associated with episodes of complete temporary loss of muscular tone, associated with intense emotions, such as crying or laughing. The pt may collapse to the ground, but does not go unconscious. This seems to be a ...Read more
Why does adderall work better than vyvanse (lisdexamfetamine) for some people. Is propanolol appropiate for anxiety? How does nuvigil work? Can trazadone be used for sle
Many answers: 1. No one knows why adderal works better than Vyvanse (lisdexamfetamine) for some patients. 2. Yes, propanol is appropriate for stage fright or performance anxiety, test anxiety etc. Any anxiety that is caused by a panic response. 3. The mechanism of action of Nuvigil is not known, it promotes wakefulness. 4. Yes, trazodone can be used for sleep in specific circumstances and after consultation with a physician. ...Read more
Two Meds: The two main medications used today to treat narcolepsy include xyrem (sodium oxybate) which is very helpful for treating cataplexy and excessive day time sleepiness and nuvigil/provigil which is used to promote wakefullness. The current "standard of care" is to give these medications together (xyrem at night and Nuvigil by day. Other medications are used but these are the current standard. ...Read moreSee 1 more doctor answer
Many: There are many options across many drug classes for the treatment of insomnia ... One of the newest is a medication which targets the Orexin system (called, Belsomra) which I've had quite a lot of success with recently in the patients I treat. Hope that helps! ...Read moreSee 1 more doctor answer
Mycratine: First, although this proprietary product is marketed as "homeopathic, " it's not homeopathic in its use. It's not prescribed by a careful, individualized case-taking, and is a "complex" that isn't described on the label. It's also had no homeopathic provings (the method by which 3000+ other homeopathic remedies are studied and their effects discovered). Company testimonials say it works, though. ...Read moreSee 1 more doctor answer
Yes: Deep brain stimulation has been studied in patients with very severe, treat resistant depression (trd). The number of people treated has been small but results are very promising. Dbs can be in the form of an implantable device or via a new type of transcranial magnetic stimulation (tms) that can non-invasively reach deeper into the brain. Studies are ongoing but it's not mainstream. ...Read moreSee 2 more doctor answers
Yes: Zopiclone is a non-benzodiazepines sleep aid, it is not available in the United States, it's cousin "lunesta" is available in the usa. Chronic use of these medications can be associated with habit formation , tolerance and possible dependence. They are effective medications , however , they have to be used carefully and only under medical supervision. ...Read moreSee 1 more doctor answer
Good sleep hygeine but take trazodone 300mg to sleep as needed, but doesn't always work. Also taking lithium, verapamil, propranolol, bupropion, geodon (ziprasidone)?
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