Narcolepsy

Narcolepsy is a sleep disorder presenting with extreme daytime drowsiness and sudden attacks of sleep. It can occur due to genetic issues and poor signaling in the brain. The affected person cannot be waked up for a prolonged period. It causes disturbances in their daily works. The symptoms of narcolepsy are cataplexy, hallucination, excessive daytime sleepiness, sleep paralysis, and sleep disturbance. Taking stimulants and antidepressants helps to manage it.

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Is nootropic drug Adrafinil dangerous in low doses and what are its side effects?

Query: Hello doctor, Is the nootropic supplement Adrafinil dangerous in low doses? If I take Adrafinil 50 mg, what could happen? Could anything severe with side effects occur?  Read Full »


Dr. Vishal Anilkumar Gandhi

Answer: Hello, Welcome to icliniq.com. It is not an FDA or The United States Food and Drug Administration approved drug. It is illegal to use to enhance your performance. If a person takes a higher dose without supervision, the patient may have weight loss, palpitation, or seizure in some cases. Please do...  Read Full »

Will no other stimulants work for me if I do not respond to Phentermine?

Query: Hello doctor, I have ADD and narcolepsy as well. I have not been on any medications for either. I consulted a sleep specialist and psychiatrist in two weeks separately. I have taken Phentermine 37.5 in the past for weight loss which did not work. I would take two pills and still be tired and go to s...  Read Full »


Dr. Seikhoo Bishnoi

Answer: Hello, Welcome to icliniq.com. Phentermine is a stimulant drug, but its use is mainly limited to weight loss. If that does not work for you, it does not mean that other drugs will not work. If you have been diagnosed with ADD (attention deficit disorder) and you have narcolepsy, then other stimulan...  Read Full »

Why do I suddenly fall asleep at any time and have difficulty staying awake during the daytime?

Query: Hello doctor,I am a 27-year-old female, and I started to fall asleep randomly. It is difficult for me to stay awake during the daytime even though I sleep well during the night. I fall asleep even in the shower. I am worried that I am going to crash while driving. It already happened once, and I wen...  Read Full »


Dr. Muhammad Zubayer Alam

Answer: Hi,Welcome to icliniq.com.Thank you for the query. I can understand your concern. According to your statement, you have been suffering from falling asleep suddenly anywhere and in any situation.According to your description, you may suffer from narcolepsy, a neurological disorder that can affect the...  Read Full »

I sleep for 13 hours a day. Is it fine to take Modafinil to reduce my sleep?

Query: Hi doctor, I am a 25 year old male, all my life I have required about 13 hours sleep every night, regardless of the bedtime. If I get the 13 hours sleep, I am not tired the next day, but if I only get 10 hours sleep, I will be very tired that day and also get a sleep debt. I went to bed at 8 PM las...  Read Full »


Dr. Sumit Srivastava

Answer: Hi, Welcome to icliniq.com. Thanks for your query. I have gone through your complaint and I think Modafinil is a good option in your case. Modafinil is used to decrease excessive sleepiness and enhances memory and cognitive functions. Modafinil can have some side effects, which are headaches, ...  Read Full »

Are my symptoms due to the nine different drugs I take?

Query: Hi doctor, I am just sitting, and suddenly I drop whatever is in my hand, and my head goes down. I do this several times a day. What is wrong with me? I take nine different drugs, but I have been on all for a long time; this just started three months ago.  Read Full »


Dr. Alexander Davis

Answer: Hi, Welcome to icliniq.com. What is more, it seems to get worse gradually, so we are talking about a neurological condition that makes your hand and head drop several times a day. The most likely conditions which can cause this kind of symptoms are some not so common forms of epilepsy or narcoleps...  Read Full »

I take Adderall with Lexapro for major depressive disorder. Is there any alternate for Lexapro?

Query: Hi doctor, I am currently on Adderall 30 mg twice a day for narcolepsy with cataplexy and Lexapro 20 mg for resistant major depressive disorder. My previous psychiatric nurse practitioner tried me on many antidepressants that did not work. Lexapro helps some but not much at all. I have very bad an...  Read Full »


Dr. Suresh Kumar G D

Answer: Hello, Welcome to icliniq.com. It looks like you have been tried on several different types of antidepressants already but did not help. Since you are on Adderall for treating narcolepsy, taking antidepressants will potentially lead to an increase in side effects. This applies to all SSRIs (select...  Read Full »

Why do I get irresistible sleep attack during day time with sleep paralysis?

Query: Hello doctor, I have daily sleep attacks during the day (irresistible sleep attacks) and before I fall to sleep I see things like I am dreaming but I knew I am awake. At night, before I fall asleep I have multiple episodes of sleep paralysis. Sometimes in every morning, I have sleep attacks and I f...  Read Full »


Dr. Vandana Patidar

Answer: Hello, Welcome to icliniq.com. Irresistible sleep attacks during daytime are called narcolepsy. They are usually considered harmful and should be treated with stimulant drugs. Amphetamines are used to treat them. Sleep paralysis is also treated with antidepressant medicines and Benzodiazepines. U...  Read Full »

I am diagnosed with narcolepsy. How to confirm it?

Query: Hello doctor, I am 17-year-old with height 5'8" and weight 118. My doctor has clinically diagnosed me with narcolepsy. He said that I show every sign and symptom I did not meet the requirements on the MSLT. He believes that I still have it. He did blood work, and my iron and vitamin C came back low....  Read Full »


Dr. Divakara. P

Answer: Hello, Welcome to icliniq.com. Most of the diagnosis is made based on the patient's history of complaints, examination done by the doctor and supported by investigations. The investigations most of the time play a crucial role for example if I suspect diabetes in a patient and his blood sugar test...  Read Full »

I dream strange things during sleep paralysis. Is it normal?

Query: Hello doctor,I have started having sleep paralysis four years back. Back then, I was able to open my eyes and was not able to move my body and speak. Whenever I used to have sleep paralysis, I used to see people torturing me. As if they are trying to harm and kill me. When I first had sleep paralysi...  Read Full »


Dr. Suresh Kumar G D

Answer: Hello, Welcome to icliniq.com. It can be frightening to experience sleep paralysis but generally it is not harmful and can occur in otherwise healthy people. It is common to have hallucinatory experiences like seeing people who wish to harm you when you have sleep paralysis. Do you have any other ...  Read Full »

I have been facing excessive sleeping. Why?

Query: Hi doctor, I am 22 years old. I have been facing excessive sleeping for the last two weeks. Even after having a sound sleep for 6 to 8 hours at night I find it difficult to wake up. I feel sleepy all day long. If I think of taking a nap in the afternoon, then it again lasts for 3 to 4 hours and aga...  Read Full »


Dr. Muhammad Majid Hanif

Answer: Hi, Welcome to icliniq.com. With the symptoms I feel sorry for your health condition. It is bothersome for sure. The causes may be depression or anxiety, thyroid disease, lack of motivation or aim ahead in life and sleep apnea syndrome. Sleep apnea syndrome is that no matter how long you sleep at ni...  Read Full »

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