Narcolepsy

Treatment:

There is no known cure for narcolepsy. Treatment is aimed at control of the symptoms.

Lifestyle adjustments and learning to cope with the emotional and other effects of the disorder may improve functioning in work and social activities. Planned naps and sleeping may help to regulate daytime sleep and reduce the number of unplanned, sudden sleep attacks.

Eat light and/or vegetarian meals during the day, avoid heavy meals prior to important activities because heavy meals often provoke an attack of narcolepsy. If possible, schedule a brief nap (10 to 15 minutes) after meals.

Prescription medications may be required for some persons, including stimulants (such as dextroamphetamine and methylphenidate). Antidepressant medications such as imipramine may be helpful in reducing episodes of cataplexy but usually do not reduce the number of sleeping episodes.

Expectations (prognosis):

Narcolepsy is a chronic, life-long condition. It is not a fatal illness but may be dangerous if episodes occur during driving, operating machinery, or similar activities. Narcolepsy is usually controllable with treatment.

Complications:

• injuries, accidents if attacks occur during activities
• impairment of functioning at work
• impairment of social activities
• side effects of medications used to treat the disorder (See the specific medication.)

Calling your health care provider:

Call for an appointment with your health care provider if symptoms of narcolepsy are present (to rule out other disorders).

Call for an appointment with your health care provider if narcolepsy does not respond to treatment, or if other symptoms develop.