Doctor insights on:
How Severe Does Sleep Apnea Have To Be To Need Modafinil
Depends: Interestingly the severity of sleep apnea is not well correlated with severity of the sleepiness. Modafinil is only used when patients remain sleepy despite adequate treatment of osa. A sleep specialist may perform a special test to determine the level of sleepiness before prescribing. ...Read moreSee 2 more doctor answers
CPAP: The fda approved indications for Modafinil (provigil)or Nuvigil are daytime fatigue with a diagnosis of sleep apnea treated with a CPAP or bipap, shift work disorder, or narcolepsy. So if you are using a CPAP for your sleep apnea typically the level of severity is moderate to severe. ...Read moreSee 1 more doctor answer
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
Usually effective: Like all medications Provigil (modafinil) works better for some people than it does for others, and there are some people for whom it may not work at all. However, in my experience, it has been a highly effective medication for most people with excessive fatigue. It is indicated for excessive sleepiness caused by sleep apnea, narcolepsy, and shift work, but it is used off label in many ways. ...Read moreSee 1 more doctor answer
What kind of a doctor prescribes provigil/similar meds? What are the indications? I have sleep apnea, persistent fatigue. Use cpap nightly.
Provigil use: A sleep medicine specialist can prescribe Provigil or similar stimulants. They are indicated for narcolepsy or other disorders associated with excessive sleepiness, such as sleep apnea. Fatigue can also be helped with Provigil or a similar drug nuvigil. ...Read moreSee 1 more doctor answer
What is my next step to treating sever sleep apnea? I was made to sleep on my back only during my first night at the sleep center. It resulted in a diagnosis of severe sleep apnea but there was not time to test a cpap. Do i need to spend another night a
These : These are questions best posed to your sleep specialist. You should have had a post-sleep study meeting with your specialist where you would have been told the meaning of your results and been given a set of options. That is where you should have discussed your issue with sleeping own your back. It very well be that you have sleep apnea no matter in what position you sleep. Without seeing your sleep study results and having the benefit of a complete history and physical exam it is impossible to make a recommendation. ...Read moreSee 2 more doctor answers
My dad has severe swelling in the oesophagus, could it be related to his sleep apnea machine? He's on steroids now but we need to know the cause.
This is probably...: Not directly related to the CPAP machine. How was the diagnosis of swollen esophagus made? He should have an egd performed by a gastroenterologist who would be better equipped to answer your question. The treatment with steroids could suggest eosinophilic esophagitis. ...Read more
Sleep Apnea: Sleep apnea causes deficient oxygenation to the brain and intermittent arousals from sleep depriving the quality and quantity of sleep. It definitely leads to trouble with attention, concentration, motivation, sex drive etc sleep study an CPAP titration will help along with diet and weight loss. ...Read moreSee 1 more doctor answer
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