Learn,how,cope,with,Narcolepsy health Learn how to cope with Narcolepsy without seeing doctors!
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Narcolepsy is a malfunction of the sleep/wake regulatingsystem in the brain which until recently was of unknownorigin. Its most common manifestation is Excessive DaytimeSleepiness and sleep attacks. Symptoms of Narcolepsy includes:a. Temporary paralysis on falling asleep or awakening (sleepparalysis). b. Hallucinations - vivid images or sounds - on fallingasleep or awakening (Hypnagogic and hypnopompichallucinations respectively). c. Moments (but sometimes extended periods) of trance-likebehaviour in which routine activities are continued on"auto-pilot" (Automatic behaviour). d. Interruption of night-time sleep by frequent wakingperiods, marked by quickening of the heart rate, over-alertness, hot flushes, agitation, and an intense cravingfor sweets. Is there any treatment?There is no cure for narcolepsy, but the symptoms canbe controlled with behavioral and medical therapy. Theexcessive daytime sleepiness may be treated with stimulantdrugs or with the drug modafinil. Cataplexy andother REM-sleep symptoms may be treated with antidepressantmedications. Medications will only reduce the symptoms, but will notalleviate them entirely. Also, many currentlyavailable medications have side effects. Basic lifestyleadjustments such as regulating sleep schedules, scheduleddaytime naps and avoiding "over-stimulating" situations mayalso help to reduce the intrusion of symptoms into daytimeactivities. Drug Therapy Stimulants are the mainstay of drug therapy for excessivedaytime sleepiness and sleep attacks in narcolepsy patients.These include methylphenidate (Ritalin®), modafinil,dextroamphetamine, and pemoline. Dosages of thesemedications are determined on a case-by-case basis, and theyare generally taken in the morning and at noon. Otherdrugs, such as certain antidepressants and drugs that arestill being tested in the United States, are also used totreat the predominant symptoms of narcolepsy. The major side effects of these stimulants are irritability,anxiety, quickened heart rate, hypertension, substanceabuse, and disturbances of nocturnal sleep. Methylphenidateand dextroamphetamine are known to cause hypertension. Acommon side effect of modafinil is headache, usually relatedto dose size, which occurs in up to 5 percent of patients.Pemoline poses a very low but noticeable risk for livercomplication. None of these stimulants influence theoccurrence of narcolepsys auxiliary symptoms and usuallyare not used to treat them. Modafinil does not carry the addiction potential thatmethylphenidate and dextroamphetamine do. In fact, thelatest development in treatment is a new modafinil drugcalled Provigil®, which does not act as a stimulant and sodoes not produce side effects like anxiety and irritability.Provigils therapeutic effects have been observed inmaintenance of wakefulness test research, where patientshave tripled their wakefulness. Although there is no cure for narcolepsy, excessive daytimesleepiness, sudden sleep onset, and cataplexy. Proper sleephygiene,which includes a consistent sleep schedule and theavoidanceof shift work and alcohol, can drastically reduce the illimpact of narcolepsy. And often, patients with narcolepsy feel refreshed after ashort nap; therefore, taking short scheduled naps maygreatly benefit patients combatting excessive daytimesleepiness.
Learn,how,cope,with,Narcolepsy