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Narcolepsy is a chronic neurological disorder that impairs the ability to regulate sleep–wake cycles, and specifically impacts REM (rapid eye movement) sleep. [1] The pentad symptoms of narcolepsy include excessive daytime sleepiness (EDS), sleep-related hallucinations, sleep paralysis, disturbed nocturnal sleep (DNS), and cataplexy. [1]
Sodium oxybate, sold under the brand name Xyrem among others, is a medication used to treat symptoms of narcolepsy: sudden muscle weakness and excessive daytime sleepiness. [3] [7] [8] It is used sometimes in France and Italy as an anesthetic given intravenously.
It is the only drug authorised by the EMA to treat the whole disease in adults, and by the FDA to treat patients who have cataplexy with the indication to be used for combating excessive daytime sleepiness. [4] [20] This drug helps to normalise sleep architecture and inhibits the intrusion REM sleep elements like paralysis during the day. [4]
Usually, people with this disorder have ataxia, mild–moderate sensorineural hearing loss, narcolepsy, and cataplexy. These symptoms start happening when an affected person is about 30 years old. [6] [7] A bit later in life, people with ADCADN start showing a decline in executive function known as dementia.
A large percentage of people with narcolepsy have cataplexy as well, which along with excessive sleepiness disrupts a person’s ability to socialize, work at a job, drive a car or even have close ...
Pitolisant, sold under the brand name Wakix among others, is a medication used for the treatment of excessive daytime sleepiness in adults with narcolepsy. [3] It is an inverse agonist of the histamine 3 (H 3) receptor (an antihistamine drug specific to that kind of receptors). [3]
Autosomal dominant narcolepsy, obesity, and type 2 diabetes 347.00 G47.419 Narcolepsy without cataplexy but with hypocretin deficiency 347.01 G47.411 Narcolepsy with cataplexy but without hypocretin deficiency 347.10 G47.429 Narcolepsy secondary to another medical condition
Narcolepsy with cataplexy 347.01 G47.411 Narcolepsy without cataplexy 347.00 G47.419 Narcolepsy due to medical condition 347.10 G47.421 Narcolepsy, unspecified 347.00 G47.43 Recurrent hypersomnia 780.54 G47.13 - Kleine-Levin Syndrome: 327.13 G47.13 - Menstrual-related hypersomnia 327.13 G47.13 Idiopathic hypersomnia with long sleep time 327.11 ...
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