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Doctor insights on: Is Nuvigil Effective For Idiopathic Hypersomnia

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Is nuvigil effective for idiopathic hypersomnia?

Is nuvigil effective for idiopathic hypersomnia?

Yes: Nuvigil is a central nervous system stimulant and can be effective for hypersomnia (sleepiness) of any origin including idiopathic hypersomnia. The response to Nuvigil is different in different individuals. ...Read more

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Idiopathic (Definition)

An idiopathic medical condition is one of unknown or obscure cause. In some conditions, there may be known causes as well. For example, themajority of glaucoma cases are idiopathic (unknown cause), but there are some cases related to eye ...Read more


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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?

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 more

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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?

Great question!: You may consider using vitamin B12, sublingually (under the tongue) Nuvigil is a stinulant used for excessive sleepiness. What is the cause of your sleepiness? Adressing the underlying problem is usually the best option. Good luck! ...Read more

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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?

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 more

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I have been diagnosed with idiopathic hypersomnia. Adderal is not consistently effective. Why? Is there something else more effective?

Right for you: The most effectiveedicstion is the one that works for you. Every human is truly an individual. Talk with your doctor about how the Adderall (dextroamphetamine and racemic amphetamine) is working for you. We are here to help you. ...Read more

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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 more

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Can you have "idiopathic insomnia with physiological hypersomnia"?

Yes: It is usually anxiety predominant nightime hyperarousal, daytime lack of arousal and a secondary depression. Circadian rythm disturbance is also now recognized. You likely do not have apnea but if you snore then may need a sleep study. Effective pharmacology, if other things are ruled out, can get you feeling better, likely an anxiety problem; i can break it down for you, i treat it constantly. ...Read more

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Dr. David May
80 doctors shared insights

Excessive Daytime Sleepiness (Definition)

Excessive daytime sleepiness is a clinical finding in which a person regularly experiences significant fatigue and a desire to sleep during the day. This can be due to sleep problems, breathing problems at night, depression, ...Read more


Dr. Kalyn Diamond
178 doctors shared insights

Hypersomnia Disorder (Definition)

Hypersomnia is the condition of excessive sleepiness. It can be due to a number of conditions, including depression, an underactive ...Read more