Doctor insights on:
Is Nuvigil Effective For Idiopathic Hypersomnia
I have had idiopathic hypersomnia for years. OSA negative. Was prescribed Nuvigil, insurance denied it. Am on 20 mg Adderall, (dextroamphetamine and racemic amphetamine) but still fall asleep during the day for HOURS. Wake up feeling awful-HELP?
May be on wrong dose: If the adderall (dextroamphetamine and racemic amphetamine) that you take is a tablet, then it is only designed to last 4-6 hours. So if your mornings, are super and alert but the afternoons are sleep city then you should visit with your doctor about either an xr capsule that lasts 10-12 hours or adding a second tablet about lunchtime. Nuvigil is still the rx of choice, so if your dr submits a PA with a dx of narcolepsy and the sleep study, ...Read moreSee 2 more doctor answers
Took sleep test, diagnosed w/ idiopathic hypersomnia. Take Adderall (dextroamphetamine and racemic amphetamine) & Nuvigil. Any suggestions for how to improve wakefulness w/o more meds?
Dx'ed w/ narcolepsy/hypersomnia, have a substance abuse history pre-diagnosis. Provigil and nuvigil don't help eds. What else to try before amphetamines?
Xyrem: Talk to your sleep specialist about xyrem (sodium oxybate = http://www.Xyrem.Com/) which is tightly controlled for cataplexy, narcolepsy & excessive daytime sleepiness (eds). Do some research on this drug (http://goo.Gl/djex1d & http://www.Fda.Gov/drugs/drugsafety/ucm332029.Htm). Do not take this drug (xyrem) w/alcohol (you don't drink) or any other drug that affects breathing. ...Read moreSee 1 more doctor answer
Yes: A expensive drug which works well.Get a more detailed answer ›
I have been diagnosed with idiopathic hypersomnia. Adderal is not consistently effective. Why? Is there something else more effective?
I live with my parent's because of medical expenses. Neither seems to understand Idiopathic Hypersomnia at all and will not research it. What to do?
Depression?: Have you yet been evaluated for depression? Hypersomnia can be one of the symptoms of depression, as well as blue mood, loss of interest in activities, etc. Also what are your feelings about being 27 years of age and still living at home? I would say find a reputable psychotherapist to discuss all of these issues with, and any others that come to mind. ...Read moreSee 1 more doctor answer
I've recently been diagnosed with IH....Idiopathic Hypersomnia. It isterrible. Do any of your 62,000 doctors know abou this and have any input?..
Of course: A psychiatrist should be able to find a way treat it. Take care ...Read more
I was on cymbalta for 4 m onths 4 pain. Now idiopathic hypersomnia.Cymbalta & lyrica (pregabalin) maden addrell ineffective.Why?
IdiopathicHypersomni: May occur with or without long sleep time (> or < 10 hrs). Total sleep may be over 12-14 hours. • naps generally long and unrefreshing. Sleep inertia common. Need help waking up. • mslt shows average sleep latency < 8 min and < 2 sorems. • prevalence ~1: 20, 000 • onset usually around age 10-30, develops over several weeks, then stable, resolves in 25% • CSF hypocretin normal, but histamine may be. ...Read more
Insomnia: Yes. Oftentimes insomnia can cause or be effect of hypersomnia conditions. Caution because idiopathic insomnia is very rare and may be the effect of another underlying sleep disorder specifically if hypersomnia is present. If concerned please contact your pcp or sleep specialist because formal testing can be very helpful to weed this out and is generally not done in people with only insomnia. ...Read moreSee 1 more doctor answer
I had daytime sleep study. diangosis idiopathic hypersomnia. I have cataplexy. How can I not have narcolepsy if it says you have it if you have cataplexy.
Four Components: Narcolepsy is a sleep disorder where each of the following symptoms are usually present: 1) excessive day-time sleepiness, 2) sleep paralysis, 3) cataplexy, and 4) hypnagogic hallucinations. Decreased rem latency (abnormally short time before entering rem sleep) is present. Diagnosis is usually made by sleep specialist after a polysomnogram (sleep study). ...Read moreSee 3 more doctor answers
If a sleep neroligist diagnoses idiopathic hypersomnia from sleep study, what would be the likely prognosis? Is there anything to make it better?
Hypersomnia: There is criteria to classify different hypersomnia--- if narcolepsy and similar condition ruled out, you can be DX idiopathic hypersomnia, respond good to treatment , Ritalin (methylphenidate) better than provigil j clin sleep med. 2009 dec 15;5(6):562-8. Idiopathic hypersomnia: clinical features and response to treatment. ...Read moreSee 2 more doctor answers
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