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Cure for tiredness ans drowsiness - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   Hi,
I have been suffering from the problem of Narcolepsy from alomost 8 years..
I have taken up some treatment initally in year 2002 but since then I haven't.
These days, I have been struggling in keeping complete alertness in the office ..Feel drowsyness and even have uncontrollable urge for sleep even if I have a good sleep last night..
Can you please suggest me something regarding the treatment?     
User :   Hi
Doctor :   hI
Doctor :   let me read your auery
User :   ok
Doctor :   May i know your age?
User :   I am 35 year old Male
Doctor :   ok
Doctor :   which med are you taking now?
Doctor :   Narcolepsy is a sleep disorder that causes overwhelming and severe daytime sleepiness.
User :   Nothing..
User :   I am not on any medicine as of now
Doctor :   Sleep hygiene is very important. For example, many people have an improvement in their symptoms if they maintain a regular sleep schedule, usually seven to eight hours of sleep per night.
User :   I m keeping that kind of schedule
Doctor :   Scheduled naps during the day also help. One study suggested that the optimal sleep pattern is a combination of scheduled nighttime sleep (such as from 11:00 pm to 7:30 am) and two 15-minute naps.
Doctor :   Patient's with narcolepsy should also avoid heavy meals and alcohol (as it can interfere with sleep).
Doctor :   Driving should be restricted when the patient feels sleepy.
User :   ok.. but any reason... why this happens?
Doctor :   A well-designed exercise program can be beneficial and stimulating.
Doctor :   yes it in a neurological disease
User :   ok
Doctor :   for which cause is not yet detected
User :   In begining I have gone through a treatment.. that Time i found the treatment helpful
Doctor :   Narcolepsy is believed to result from a genetic predisposition and abnormal neurotransmitter (hypocretin, also known as orexin) functioning and sensitivity.
User :   can you suggest any medicine or treatment to me ?
Doctor :   The main focus of medical treatment is symptomatic relief of excessive daytime sleepiness and cataplexy with stimulants of the central nervous system and antidepressants. Stimulants increase wakefulness, vigilance, and performance, while antidepressants reduce cataplectic attacks.
Doctor :   Drugs that act as stimulants are standard treatments for narcolepsy. They include the following: * methylphenidate (Ritalin)
* modafinil (Provigil)
User :   ok.. is it some kind of steroid?
Doctor :   no
Doctor :   not at all
Doctor :   these are brain stimulators
Doctor :   Unfortunately, these medications have undesirable side effects including headache, irritability, nervousness, and gastrointestinal complaints. Nocturnal sleep may be impaired, thus decreasing sleep time
User :   Ritalin is anti depressant and Provigil is stimulant.. Right??
User :   oh
Doctor :   yes
User :   Are these medicine available over the counter or does it need medical prescription
Doctor :   if a person is diagnosed with narcolepsy, he or she can join a support group. By becoming a member of a support group, one gets emotional support from people who are having similar problems. It will alleviate isolation and the feeling that he or she is the only one with the condition.
Doctor :   not not over the counter
Doctor :   they are dangerous with out prescrptn
User :   ok.. then do i have to consult any neurologist for this?
User :   what do you suggest??
Doctor :   yes
Doctor :   you need an personalised treatment plan
User :   is this a curable problem?
User :   or If I started on medicine ..I have to take it lifelong?
Doctor :   it is curable to some extent
User :   :(
Doctor :   the studies are still going on
Doctor :   soon you can expect some good medicines
User :   does it happens due to smoking ? I am mild smoker .. i.e. 3-4 cig in a week
Doctor :   not necessarily
User :   ok
User :   how should I deal with it when I have severe urge of sleep in office..
Doctor :   Treatment is tailored to the individual, based on symptoms and therapeutic response. The time required to achieve optimal control of symptoms is highly variable, and may take several months or longer
User :   I have noticed that I slept around 15-20 min untill somebody came to my desk
User :   and woke me up
Doctor :   you should practice short naps at home
User :   its very embarrasing if someone founds you sleeping when you are at senior position
Doctor :   Take a few brief, scheduled naps during the daytime (10-15 minutes each). Try to get a good nightâ??s sleep during the same hours each night. Planned naps can prevent unplanned lapses into sleep.
Doctor :   Exercise can make you feel more awake during the day and stimulate sleep at night. For example, take several short walks during the day.
User :   Any specific medical center which have handled such cases successfully.. and have some experites in this area of treatment?
Doctor :   Alert others so that they can help when needed.
Doctor :   Break up larger tasks into small pieces
Doctor :   Focus on one small thing at a time.
Doctor :   were are you from?
Doctor :   you need to meet an sleep medicine specialist
Doctor :   it is available in NIMHANs at Bangalore
Doctor :   Medication is very helpful for treating the symptoms of narcolepsy. Commonly prescribed drugs for narcolepsy are stimulants, antidepressants and sodium oxybate. All medications have side effects so talk with your doctor
Doctor :   Behavioral changes are usually recommended along with medications to help a person to manage narcolepsy symptoms. Combining the various treatments can improve alertness and help you control the effects of a narcoleptic episode.
Doctor :   Avoid caffeine, alcohol, and nicotine
Doctor :   hese substances interfere with sleep when you need it.
Doctor :   Record important conversations and meetings, in case you fall asleep.
Doctor :   If possible, donâ??t drive, climb ladders, or use dangerous machinery. Taking a nap before driving may help you to manage any possible sleepiness.
Doctor :   did you understand?
Doctor :   Sir XXXXXXXX Ram Hospital, New Delhi -
Doctor :   is also having specialists
Doctor :   is there any thing else i can help you with?
Doctor :   Thanks for consulting
Doctor :   Bye fro now....
Doctor :   Bye for now......
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