Narcolepsy
What are the treatments for the condition?
There are a number of treatments for narcolepsy that help manage the symptoms.
Excessive daytime sleepiness may be treated with medicines that stimulate the central nervous system. These stimulants include:
dextroamphetamine sulfate, or Dexedrine
methylphenidate HCl, or Ritalin
modafinil, or Provigil
Tricyclic antidepressants are used to treat muscle weakness and other symptoms. These medicines can reduce symptoms but usually will not alleviate them entirely. Amitriptyline and nortriptyline are common antidepressants.
It also helps if the person makes lifestyle changes. These can include:
avoiding caffeinated foods and beverages in the evening
creating a sleep schedule, with set times to go to bed, wake in the morning, and take naps
exercising regularly, at least 3 hours before bed
joining support groups
managing stress
taking 10-minute naps one to four times a day
What are the side effects of the treatments?
Side effects of central nervous system stimulants include:
addiction to the medicine
arrhythmia, or irregular heartbeat
headache
insomnia
nervousness and irritability
mood changes
Antidepressants can cause drowsiness, erectile dysfunction, and low blood pressure.
What happens after treatment for the condition?
Treatment of narcolepsy is lifelong.
How is the condition monitored?
The person with narcolepsy will have regular visits with the healthcare provider. Any new or worsening symptoms should be reported to the provider.
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