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Doctor insights on: How Severe Does Sleep Apnea Have To Be To Need Modafinil

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How severe does sleep apnea have to be to need modafinil?

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 more

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Dr. Patricia Mcgarry
440 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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How severe of sleep apnea do you need to get modafinil?

How severe of sleep apnea do you need to get modafinil?

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 more

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I would like to know more about provigil. I have sleep apnea and stay tired while at work.?

I would like to know more about provigil. I have sleep apnea and stay tired while at work.?

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 more

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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

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What kind of a doctor prescribes provigil/similar meds? What are the indications? I have sleep apnea, persistent fatigue. Use cpap nightly.

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 more

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Who should treat me for less severe pH caused by sleep apnea? I'm adrift without care since pH specialist said they don't treat my kind of ph,

Who should treat me for less severe pH caused by sleep apnea?  I'm adrift without care since pH specialist said they don't treat my kind of ph,

PH and Sleep Apnea: Cva, coronary events, angina at night, dying in one's sleep can all be related to sleep apnea. You should see an ENT or sleep specialist. Cpap, dental devices and surgery can all be effective. ...Read more

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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

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 more

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Could it be that my sleep apnea leads me to my severe add?

Could it be that my sleep apnea leads me to my severe add?

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 more

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I was recently diagnosed with severe sleep apnea. Should I do durable power of attorney ?

I was recently diagnosed with severe sleep apnea. Should I do durable power of attorney ?

Not because of it: It is good to plan ahead in case of sudden illness and incapacitation. Sleep apnea is not an imminently fatal condition, but it does increase the risk of stroke and heart disease. ...Read more

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My neighbor have sleep apnea very severe what is good for that he wake up all doing the night ...

My neighbor have sleep apnea very  severe what is good for that   he wake up all doing the night ...

Cpap: The standard of care in severe OSA is cpap. There are other therapies and surgical treatments, but cpap is the gold standard. ...Read more

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Please describe the mortality rate for patients with severe sleep apnea?

Sleep apnea: Most studies show increased mortality from severe sleep apnea especially heart attack in early morning hours. ...Read more

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What can one do to improve quality of life if suffering from moderate to severe sleep apnea?

What can one do to improve quality of life if suffering from moderate to severe sleep apnea?

Lose weight, nap: Many people benefit from a CPAP mask worn at night. In my personal cases, exercising vigorously and losing weight solved the whole problem. If weight loss doesn't work, please go see a pulmonologist and have a work up to determine the cause. Some causes can be quite serious although far less common than weight gain. Be prepared to get naps when exercising more. You will need them! ...Read more

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I am having sudden onset episodes of severe drowsiness during the day. No sleep apnea. Possible causes?

Complex issue: Sleep attacks are usually seen with narcolepsy, but that is unlikely at your age. Partial seizures, mini strokes, hydrocephalus, brain tumors, medications can cause your symptoms. Seek evaluation soon. ...Read more

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Have moderate sleep apnea W/severe O2 loss. Will treat w/CPAP & oxygen. In future is it possible oxygen can be withdrawn & Cpap alone be adequate?

Have moderate sleep apnea W/severe O2 loss. Will treat w/CPAP & oxygen. In future is it possible oxygen can be withdrawn & Cpap alone be adequate?

Sometimes: Depends on whether patients have underlying lung disease and whether oxygen is also needed during the day as well. I have seen those that stay on oxygen and those that end up only on cpap over time. ...Read more

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What besides sleep apnea causes severe sleepiness?

What besides sleep apnea causes severe sleepiness?

Many things: Often, quality of sleep is an issue as well. It isn't enough to just be in bed for 7-8 hours, the quality is key. Room temperature, light sources, etc are factors. ...Read more

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I have mild sleep apnea (study) but my symptoms are that of severe sleep apnea. Condition only midly improved with cpap and automatic pressure always hitting maximum. Could it be something else?

I have mild sleep apnea (study) but my symptoms are that of severe sleep apnea. Condition only midly improved with cpap and automatic pressure always hitting maximum. Could it be something else?

About apnea: The differential diagnosis of obstructive sleep apnea can be quite extensive. If you are not feeling better on cpap, you need to be sure to follow up with your family physician. The practice of medicine is the art of continually checking in on the patient. Be sure your weight is ideal for your height, thyroid is normal, and is your sleep pattern normal. Is there any underlying depression? ...Read more

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Been suffering severe sleep apnea diagnosed at 17 but much longer than this.feel deprivation and BAD effects daily.HATE CPAP. can oral device help me?

Been suffering severe sleep apnea diagnosed at 17 but much longer than this.feel deprivation and BAD effects daily.HATE CPAP. can oral device help me?

Oral device CAN help: CPAP is the gold standard for OSA treatment because it is effective in almost every case. Oral devices are tolerated by some patients. The most likely candidates are non-obese patients with mild sleep apnea. Studies show some oral appliances reduce OSA severity by 50%, on average - patients with moderate to severe OSA may still have symptoms or remain at higher risk for heart disease, etc. ...Read more

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Hello and thanks. I have been diagnosed with severe sleep apnea...I stop breathing 47 times a night. Is there any other cure other than a cpap machine?

Hello and thanks. I have been diagnosed with severe sleep apnea...I stop breathing 47 times a night. Is there any other cure other than a cpap machine?

Treat causes:: With osa, weight loss, exercise, and certain surgical procedures can often times be quite effective (uppp, somnoplasty, septoplasty) reducing the severity of your sleep apnea. In mild to moderate cases, a custom oral appliance can be fabricated for you in lieu of cpap. You have indicated though that you have been diagnosed with severe sleep apnea, so CPAP is definitely the gold standard. ...Read more

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Can cpap be used with a perforated septum? Severe obstructive sleep apnea that septoplasty did not help

Can cpap be used with a perforated septum? Severe obstructive sleep apnea that septoplasty did not help

Yes: Yes. You may need guidance from an ENT doc to help with septal perforation - with or without CPAP treatments. Also, many septal perforations can be treated surgically. ...Read more

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Dr. Patrick Melder
1,058 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. Carlo Hatem
1,197 doctors shared insights

Sleep Apnea (Definition)

A condition in which you stop breathing during sleep. There are 2 main types. Obstructive the most common. Central the less common. When people speak about sleep apnea they usually refer to obstructive where you cannot breathe due to ...Read more