Doctor insights on:
Which Type Of Medication Is Used To Treat Narcolepsy
Are there ways to treat narcolepsy for a recovering alcoholic and drug addict? I am both, and taking amphetamines is not an option.
Two Meds: The two main medications used today to treat narcolepsy include xyrem (sodium oxybate) which is very helpful for treating cataplexy and excessive day time sleepiness and nuvigil/provigil which is used to promote wakefullness. The current "standard of care" is to give these medications together (xyrem at night and Nuvigil by day. Other medications are used but these are the current standard. ...Read moreSee 1 more doctor answer
Stimulants: The most common drug used is amphetamine. But other drugs like provigil, nuvigil, strattera, (atomoxetine) Ritalin etc. Can be used. Drugs should be administered carefully and slowly with due regard to cardiovascular status, especially in middle-aged individuals. ...Read moreSee 1 more doctor answer
Started nuvigil for narcolepsy. Experiencing some diarrhea. Will this go away as I get used to the medication?
Probably: We always blame the last med for any changes. Diarrhea may not be due to Nuvigil. However, I have had a couple of patients on Nuvigil who developed diarrhea after the first dose and it went away in 3 days with one and a week with the other. That is pretty common with meds that change the body response. The body tries to resume its normal activity and frequently does. Side effects go away. ...Read more
Yes, but see below: There are genetic forms, and also reported, are post-traumatic forms. Some pts just possess the sleep attacks, others have additional cataplexy, and may or may not have sleep paralysis, and vivid dreams. Sleep disorders are, however, complex, and often a sleep study reveals the full answers. ...Read moreSee 1 more doctor answer
Nonspecific: The symptoms can be very nonspecific. It would be important to rule out the "mimicers" of narcolepsy with medical tests and screening questionnaires. If there are more specific signs like cataplexy, a regular internist or gp may not feel comfortable diagnosing and managing. Specialist may be recommended. See pcp first if this has never been done and see what recommendatoin is re: specialist. ...Read moreSee 1 more doctor answer
I have diagnosed narcolepsy, but I cannot afford the proper meds... uninsured... is there any OTC things I can take or any type of activities thatll keep me awake? I have cataphlexy too
Not the best idea: While I'm sympathetic to your problem, I'm reluctant to make suggestions. Your treating physician should be the person who gives you this advice. Medication assistance programs ARE available from manufacturers to eligible applicants. The office of a doc committed to pt care will have or can obtain that information. A web search by you should also turn up resources. ...Read moreSee 1 more doctor answer
What type of doctors have the legal authority to issue the "wakefulness test" to people with narcolepsy so that they can get a driver's license?
Medical Expertise: What you mean to say is MEDICAL EXPERTISE which is then, recognized by a government agency & translated into a legal right for a person to operate a motor vehicle. Typically, you'll find this being done by those with a specialization in Sleep Medicine. Most frequently, pulmonologists or neurologists who have specialty training in SLEEP MEDICINE do these. More questions? www.healthtap.com/drsaghafi ...Read more
I have narcolepsy and sometimes i answer questions while im in some type of sleep and don't remember it or vaguely remember also wake up hot. Cause?
These are normal: Symptoms in narcolepsy.Nighttime wakefulness – if you suffer from narcolepsy, you may have periods of wakefulness at night with hot flashes, elevated heart rate, and sometimes intense alertness. Automatic behavior means that you continues to function (talking, putting things away, etc.) during sleep episodes, but awakens with no memory of performing such activities. Wikipedia and helpguide.Org. Best wishes. ...Read more
Is it possible to find a md that will treat my narcolepsy w/o cataplexy for a low price? I'm w/o insurance and the condition is becoming debilitating.
Assistance Programs: If you don't have insurance contact your sleep physician clinic and see if they have some sort of a patient financial assistance program. Medications for narcolepsy can be very expensive. If you have a study-proven diagnosis of narcolepsy, then going to something such as http://www.Cephaloncares.Com/ for information on nuvigil, and filling out the forms can help with getting the medication. ...Read moreSee 2 more doctor answers
Does modafinil ( narcolepsy) drugs have chemical preservatives in them? Like BHA, TBHQ, etc..... And why are they white color is white color natural?
Something like: All tablets are mostly "inert ingredients." The full prescribing information for a drug lists them. The full prescribing information is what you find in the PDR or on line. ...Read more
I have narcolepsy and take provigil and prosac. I had failed a UA for THC. How is this possible? And why is that the only drug tested positive?
I have successfully treated narcolepsy (take provigil, xyrem). About a year ago, i suddenly developed severe chronic insomnia. What could cause this?
Who can administer a sleep test? What are the symptoms of narcolepsy? Is there a cure for chronic sleep paralysis? Where can I get it treated (US/UK)?
MSLT: A polysomnogram (overnight sleep test) followed by an MSLT (multiple sleep latency test) is reasonable to rule out sleep apnea and narcolepsy. There are effective treatments for both conditions including pharmacotherapy for narcolepsy. Although any physician may order these tests it would be wise to see a sleep physician. ...Read more
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