Diagnosis Treatment Of Narcolepsy

A young girl sitting on a bed


Narcolepsy is a brain disorder in which the person affected suddenly and uncontrollably becomes sleepy or drowsy. When narcolepsy occurs, the part of the brain that regulates normal sleep cycles doesn’t function properly. Normal sleeping skills then become chronically disrupted, with brief periods of deep sleep intermittently replaced by cataplexy, a sudden loss of muscle tone and control. 


A man lying on a bed

There are four primary symptoms of narcolepsy: excessive daytime sleepiness, cataplexy, hypnagogic hallucinations, and sleep paralysis.

  • Excessive daytime sleepiness is the most common symptom of narcolepsy. It may cause you to suddenly fall asleep, even when you are in the middle of a conversation or activity. You may also feel very tired all the time and have difficulty staying awake during the day.
  • Cataplexy is a sudden loss of muscle tone and control that can cause weakness in the arms and legs, a slack jaw, or drooping facial features. It usually occurs when you laugh or feel strong emotions such as happiness, sadness, surprise, or anger.
  • Hypnagogic hallucinations are vivid, often frightening, dreams that occur while you are falling asleep. You may see, hear, or feel things that are not there.
  • Sleep paralysis is a feeling of being paralyzed or unable to move immediately after waking up or falling asleep. You may also have difficulty speaking.
  • In addition to the classic symptoms of narcolepsy-excessive daytime sleepiness and cataplexy-some people with narcolepsy also experience hallucinations, disturbed sleep, and a decreased sense of well-being. For example, they may feel like they are living in a fog or dreamlike state, or have a hard time thinking clearly or concentrating. Some people with narcolepsy also suffer from insomnia, or the opposite problem-trouble staying asleep.
  • The symptoms of narcolepsy can vary from person to person, and even from day to day in the same person. They may also be more or less severe at different times.


A person lying on a bed

There is no one-size-fits-all treatment for narcolepsy. The approach that works best for one person might not work at all for someone else. Treatment usually involves a combination of lifestyle changes and medications.

Lifestyle Changes:

Many people with narcolepsy find it helpful to make some lifestyle changes, such as getting regular exercise, avoiding caffeine and alcohol, and establishing a regular sleep schedule.


There are several medications available to help control the symptoms of narcolepsy. The most common drugs used to treat narcolepsy are stimulants, which help increase wakefulness and alertness. Other medications that may be prescribed include antidepressants, which can help improve sleep quality, and sodium oxybate (Xyrem), a drug that helps control cataplexy and excessive daytime sleepiness.

Getting Enough Sleep:

People with narcolepsy should aim to get enough sleep every night. This may mean going to bed and waking up at the same time each day, taking short naps during the day, or using a light therapy box to help regulate your body’s natural sleep-wake cycle.

Living with narcolepsy can be difficult, but it is possible to manage the condition and live a full and productive life. With proper diagnosis and treatment, most people with narcolepsy can enjoy good health and quality of life.


Regular exercise is an important part of narcolepsy treatment. Exercise can help you stay awake and active during the day, and it has been shown to improve sleep quality and help control symptoms such as excessive daytime sleepiness and cataplexy.

Caffeine and Alcohol:

People with narcolepsy should avoid caffeine and alcohol, which can worsen symptoms such as sleepiness and fatigue.

Sleep Schedule:

It is important to establish a regular sleep schedule if you have narcolepsy. Going to bed and waking up at the same time each day can help regulate your body’s natural sleep-wake cycle.


Overall, the goal of narcolepsy treatment is to help the person affected to manage the symptoms as effectively as possible. This usually involves a combination of lifestyle changes and medications, tailored to the individual’s needs. With proper treatment, most people with narcolepsy can lead relatively normal lives.

There is no cure for narcolepsy, but there are treatments that can help control the symptoms. Treatment may include medications such as stimulants and antidepressants, lifestyle changes such as getting enough sleep and exercise, and treatment for any underlying conditions that may be contributing to narcolepsy. If you have narcolepsy, it is important to see a doctor who can help you manage your symptoms. Early diagnosis and treatment can help you stay alert and functioning during the day.

Subscribe to our monthly Newsletter
Subscribe to our monthly Newsletter