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Doctor insights on: Does Xyrem Work Well For Cataplexy

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Dr. Michael Kleerekoper
52 doctors shared insights

Cataplexy (Definition)

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


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Does clonazepam work for bruxism and sleep?

Does clonazepam work for bruxism and sleep?

Yes: One of my "go to medications" for this problem. Medication, soft diet, antiinflammatory medications and a mouth guard are also very helpful. ...Read more

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Does wellbutrin (bupropion) work very well for ADHD and depression?

Does wellbutrin (bupropion) work very well for ADHD and depression?

Wellbutrin (bupropion) is : Excellent for atypical depression/ seasonal affective disorder. Would not use it first line for adhd. However, it can be used off-label for that purpose. ...Read more

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Does the provent system work for sleep apnea?

Does the provent system work for sleep apnea?

Yes: Nasal valves (provent) can be effective for sleep apnea especially in patients unable to tolerate cpap. It tends to work best for mild or moderate patients. ...Read more

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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

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

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How well does savella (milnacipran) work for people suffering with fibromyalgia?

How well does savella (milnacipran) work for people suffering with fibromyalgia?

My first choice: Savella (milnacipran) is usually the first medication i try on patients. I do taper its dose up at about half the rate the manufacturer recommends to reduce the risk of side effects. ...Read more

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Which medications work best for narcolepsy?

Which medications work best for narcolepsy?

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 more

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Does Abilify (aripiprazole) work well for schizophrenia?

Does Abilify (aripiprazole) work well  for schizophrenia?

Very well: For some, less for others. Like most psychiatric medications, hard to predict until you try it. ...Read more

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What sedative hypnotic will work for insomnia just as well as ambien (zolpidem) does?

What sedative hypnotic will work for insomnia just as well as ambien (zolpidem) does?

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 more

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How well does sulpiride work for anxiety?

How well does sulpiride work for anxiety?

Sulpiride: Sulpiride is an atypical antipsychotic used to treat schizophrenia and psychotic depression, etc. It is not used for non-psychotic anxiety, but can certainly help patients who are very frightened by their hallucinations and delusions. ...Read more

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Can topamax (topiramate) work well for bipolar?

Can topamax (topiramate) work well for bipolar?

Topamax (topiramate): Topamax (topiramate) can be used for treatment of Bipolar Disorder. I don't usually use it as my first line medication. More often use it with another medication that stabilizes mood. ...Read more

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Does mycratine work as a migraine medication?

Does mycratine work as a migraine medication?

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 more

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Does dbs work for depression?

Does dbs work for depression?

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 more

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Does biofeedback work well with depression?

Does biofeedback work well with depression?

Yes: Yes it can be an useful adjunct to therapy and medication. But probably not a treatment by itself. ...Read more

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Does zopiclone work for insomnia?

Does zopiclone work for insomnia?

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 more

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Does provigil work for excessive daytime sleepiness?

Does provigil work for excessive daytime sleepiness?

Yes: Yes. It is an fda approved drug for eds (excessive daytime sleepiness). But i would try to determine why there is eds in the first place. A sleep study is a good start as well as an veal by a sleep specialist. ...Read more

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Does melatonin work as a valium?

Does melatonin work as a valium?

No: Melatonin is a zeibgeber - it signals the body that it is dark outside (and time to go to sleep). It is not a sleeping pill. Valium (diazepam) increases gaba activity in the brain, reduces anxiety, makes you sleepy, lasts for more than two days in the body. ...Read more

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Does primatene work for wieght?

Does primatene work for wieght?

Primatene: Primatene is over the counter inhaler for asthma treatment due to its ability to dilate the bronchial passages. It has been banned since december of last year due to content of freon volatile compound. ...Read more