Doctor insights on:
Narcolepsy And Sleep Apnea
I have narcolepsy, cataplexy, sleep apnea, and depression and i weigh right at 300 pounds i can not seem to lose any weight any advice would be great?
FATIGUE WITH OSA: Provigil is cheaper and better tolerated than Nuvigil .Also adderal/Ritalin/Starttera can help. Start a gluten free diet Wholeapproach.com gut bliss.com. If CPAP/BIPAP is poorly tolerated seek ENT CONSULT for UPP/ vs Hyoid suspension. ALSO FOCUS ON WEIGHT LOSS. TOPAMAX (topiramate) IS effective FOR. RLS AND WEIGHT LOSS. ...Read more
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
I am wondering how do doctors treat people with diseases like narcolepsy, sleep apnea or chronic fatigue?
It varies.: For sleep apnea, the most common treatment is a pap device - it splints the airway open to prevent the repetitive airway blockage that fragments sleep. For narcolepsy, typically we utilize stimulant therapy and sometimes a medication called xyrem. It would be important to determine the correct diagnosis and then develop a treatment plan with your physician. ...Read moreSee 1 more doctor answer
Prev dr said i may have narcolepsy but i don't have vivid dreams or sleep paralysis but I have daytime sleepiness & moderate sleep apnea. Thoughts?
Treatment: Anything that causes sleep fragmentation (apnea, pain, leg kicking, etc) leads to sleepiness. So even before testing for narcolespy in sleep lab setting you would have to confirm that the apnea is well controlled and not contributing to waking. Sometimes sleepiness is persistent because of years of apnea and there is med for that ... See someone specialized in these disorders and do your homewk. ...Read moreSee 2 more doctor answers
Is sleep apnea and narcolespy the same and if not what's the difference, a dot doctor told me he thinks I have sleep apnea!
Sure: In narcolepsy, you just skip all the early phases of sleep, and just go to sleep immediately and at inappropriate times and places. Once alseep, you are not immune to the potential of blockage of the airway and apneas that everyone else has. So you can be narcoleptic, and experience apnea once you are asleep. ...Read moreSee 2 more doctor answers
33/m, constant tiredness, difficulty waking, using fire alarm to wake me.75 min+ of fire alarm and wife shaking me.Sleep intertia.No narcolepsy/apnea.
No cure: There is high failure rate of surgical procedures for sleep apnea. Best treatment is the CPAP mask adjusted to the right pressure. There are some that automatically adjust themselves for the best pressure. Need to get the most comfortable mask & less noisy machine .Complications of surgery include airway obstruction, bleeding, hematoma, infection, pain, death, dysphagia, velopharyngeal etc... ...Read moreSee 2 more doctor answers
Yes: It has been published that it affects 4% of men and 2% of women, but personally, i think it is much higher. Unfortunately, it has been given lower priority than other medical conditions. That is now changing as we are discovering that is is associated with considerable medical and psychiatric morbidity and even mortality. ...Read moreSee 2 more doctor answers
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