Narcolepsy Diagnosis and Treatment

In addition a complete medical history and physical examination, diagnostic procedures may include:

• Combination of EDS and cataplexy provide for preliminary clinical diagnosis
• Laboratory tests to confirm diagnosis and plan treatment, including:
  • Overnight Polysomnogram (PSG) - to determine the presence of EDS and perhaps other underlying causes of this symptom.
  • Multiple Sleep Latency Test (MSLT) - to measure sleep onset and how quickly rapid eye movement REM sleep occurs.
  • Genetic Blood Test - to measure certain antigens often found in people who have a predisposition to narcolepsy.

Treatment
Specific treatment will be determined by your physician based on:

• your age, overall health, and medical history
• extent of the disease
• your tolerance for specific medications, procedures, or therapies
• expectations for the course of the disease
• your opinion or preference

The goal of treatment of narcolepsy is for the patient to remain as alert as possible during the day and to minimize any recurring episodes of cataplexy, while using a minimal amount of medication.

• Medications - excessive daytime sleepiness and cataplexy are treated separately, with central nervous system stimulants usually prescribed for EDS and tricyclic antidepressants for cataplexy
• Nap Therapy - two or three short naps during the day to help control sleepiness and maintain alertness
• Proper Diet
• Regular Exercise