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
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'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 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
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 moreSee 1 more doctor answer
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