Doctor insights on:
Medicine For Cataplexy
Is it safe to take drug that caused cataplexy? Geodon (ziprasidone) 50mg gave best sleep of my life but at 75mg gave me full blown cataplexy.. And best sleep! i slept deep solid 8 hours and woke up feeling great!
Geodon (ziprasidone): If the medicine gave you the best results discuss with your prescribing physician the dose adjustment for optimum response and tolerability. ...Read more
The syndrome of narcolepsy, which causes daytime sleep attacks, may be associated with episodes of complete temporary loss of muscular tone, associated with intense emotions, such as crying or laughing. The pt may collapse to the ground, but does not go unconscious. This seems to be a ...Read more
Definitely: Cataplexy can be a disabling symptom of narolepsy. So if it is prominent or bothersome treatment is indicated. There are a number of anticataplectic medications and particularly one medication that has been specifically approved for narcolepsy with cataplexy. Need to see board certified sleep specialist. ...Read more
SLEEP DISORDER: Narcolepsy and cataplexy are very much associated. There are daytime irresistable sleep attacks, florid nitemares, and sleep paralysis on awakening. The cataplexy involves a sudden loss of muscle tone and collapse with intense emotions, such as crying or laughing. Sleep studies can help confirm a diagnosis. Treatment can be very successful. ...Read more
Narcolepsy: The syndrome of narcolepsy, which causes daytime sleep attacks, may be associated with episodes of complete temporary loss of muscular tone, associated with intense emotions, such as crying or laughing. The pt may collapse to the ground, but does not go unconscious. This seems to be a daytime rem sleep-like situation. ...Read more
Cataplexy: Is a sudden and transient episode of loss of muscle tone accompanied by full conscious awareness, often triggered by strong emotions such as laughing, crying, or being scared. Speech is often slurred, but vocalization is possible unless there is total collapse, but it usually only lasts for a short time with complete recovery from seconds to minutes. ...Read more
Cataplexy: Very unusual. I have heard of attacks decreasing with age, but never a single attack. ...Read more
Can you tell me what to expect with symptoms of cataplexy when I am very scaredwith the possibility of it being cataplexy?
See your doctor: Cataplexy is the sudden loss of muscle tone often triggered by strong emotions such as laughter, surprise, crying. It is a condition associated with narcolepsy. Cataplexy attacks can be mistaken for seizures. If you are having these types of spells, see your doctor and let them know your concerns. Treatment is available to help lessen the symptoms. ...Read more
Depends: Approximately 30% of narcoleptics do not experience cataplexy, making the diagnosis of narcolepsy a bit more difficult. Have you seen a neurology sleep specialist and undergone a sleep study? If not, see your physician in order to discuss your symptoms. http://www.ninds.nih.gov/disorders/narcolepsy/detail_narcolepsy.htm , http://www.nhlbi.nih.gov/health/health-topics/topics/slpst/ ...Read more
Possibly Cleveland: Looking at your location, you are not too far from cleveland. The cleveland clinic has a sleep disorders center, where you could be evaluated for narcolepsy and cataplexy. I don't know how affordable they are, but you could call them to discuss this issue. There may also be doctors closer to you. ...Read more
Can cataplexy occur without narcolepsy? And is it possible for it to regress to no episodes at all?
Complex: Cataplexy is part of narcolepsy, which also may or may not include daytime sleep attacks, sleep paralysis, vivid nitemares, but there may be only parts of the syndrome, and the full tetrad is not always present. Cataplexy with out the sleep attacks would be unusual but not unheard of, but get an eeg, just to be sure these are not actually seizures instead. ...Read more
Does narcolepsy and cataplexy usually get worse over time? Is rapid change in severity over 12 months normal?
It slowly progresses: Both narcolepsy and cataplexy gradually worsen over decades. Rapid change is likely some other factor; consider a repeat overnight sleep study to rule out coexisting sleep apnea, restless legs, poor sleep efficiency, or other causes of unrestful sleep. General tips: daytime naps, regular sleep-wake cycle, good sleep hygiene, routine activity during daytime, aerobic exercise, and sunlight exposure. ...Read more
Have had either signs of a brian tumor or just cataplexy. I guess my question is can you have cataplexy symptoms with a tumor and if so what kind?
Go see a good doctor: Please do not try to make a difficult diagnosis all by yourself. Go see a doctor. No one can tell what is wrong with you, via email . It will take a doctor to meet you, get a history and do a clinical/neurological examination and possibly a brain ct or MRI study if indicated, and you will get a clear answer. ...Read more
I fall down fully conscious when I am excited. It looks like cataplexy, but i don't have other narcolepsy symptoms. Can it be cataplexy without n.?
Maybe, but: This needs further evaluation, as you may have cataplexy, but you may possess, an atonic seizure disorder, provoked by emotional events, or you could instead have paroxysmal kinesiogenic choreoathetosis, which is quite rare. Lastly, unlikely, but maybe basilar migraine. This would benefit from careful neurological evaluation. ...Read more
Seems likely: Cataplexy is a sleep disorder syndrome, and does not affect sexual activity directly, so there should be no issue here. However, if there is indeed a problem or the episodes cause too much disruption, a sleep specialist can readily use medications to control most if not all attacks. ...Read more
Great Question!: What a great query. Patients with narcolepsy/cataplexy usually have to seek jobs with very flexible schedules. Many of these patients require naps or rest during the day and an understanding employer. This really means that narcolepsy patients can do any job but must have flexibility! ...Read more
Amphetamines in narc: I'm not sure if i understant the question. Unlike in adhd, amphetamines used for narcolepsy should not be taken intermittently or with holidays. These can be somewhat helpful for cataplexy but there are better anti-cataplectic medications that do not have the side effects. Amphetamines are used in narcolepsy primarily to combat the sleepiness with the added benefit of anticataplexy. ...Read more
I have been taking modafinil for.narcolepsy with cataplexy for about 5 yrs now. I take 200mg x twice daily buy they aren't effective like before. Help?
See your specialist: If modafinil is no longer effective you should see your doctor to reevaluate your therapy. You may need modification of your dosing or changes in therapeutic approach, depending on what aspects of your case are not being addressed. ...Read more
It can: Similiar to the way someone with a foot drop from stroke usually has some degree of foot and ankle swelling compared to the other side. The principle is similiar - a loss of muscle tone or function doesn't allow the muscles to effectively help in pumping blood away from the area. ...Read more
W/d from anticataple: Yes. Any anticataplectic agent when withdrawn can cause rebound cataplexy. ...Read more