![]() See Narcolepsy: NHS Choices and the EFNS guidelines on management of narcolepsy (Billiard et al. Narcolepsy is a neurological disorder that causes persistent sleepiness and additional symptoms such as brief episodes of muscle weakness known as cataplexy, vivid, dreamlike hallucinations, brief episodes of paralysis when falling asleep or upon awakening (sleep paralysis), and fragmented nighttime sleep. ![]() Many of these medicines are not licensed for the treatment of narcolepsy and they vary in the evidence available for their effectiveness in treating narcolepsy. These include stimulants such as modafinil, dexamfetamine or methylphenidate sodium oxybate or antidepressants such as selective serotonin reuptake inhibitors (SSRIs), serotonin–noradrenaline reuptake inhibitors (SNRIs) or tricyclic antidepressants. Several medicines are used to treat the symptoms of narcolepsy. Accessing counselling and support may also be important for people to come to terms with the sleep disorder and its implications. Managing narcolepsy involves implementing good sleep hygiene, which may include taking brief planned naps and sticking to a strict bedtime routine. Sleep paralysis: a temporary inability to move or speak when waking up or falling asleepĮxcessive dreaming: dreams often come when falling asleep (hypnogogic hallucinations) or just before or during waking (hypnopompic hallucinations)ĭisturbed nocturnal sleep: frequent waking in the night. Sleep attacks: falling asleep suddenly and without warningĬataplexy: temporary loss of muscle control resulting in weakness and possible collapse, often in response to emotions such as laughter and anger Excessive daytime sleepiness: feeling very sleepy throughout the day, and having difficulty concentrating and staying awake
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