Alaska Sleep Education Center

Narcolepsy

Narcolepsy is a chronic neurological disorder that significantly disrupts the sleep-wake cycle. The primary symptom is excessive daytime sleepiness (EDS), which can cause people to fall asleep involuntarily, even during activities like eating or driving. Individuals with narcolepsy often feel well-rested upon waking but become very sleepy throughout the day. Additionally, they may experience uneven and interrupted nighttime sleep, frequently waking up during the night.

Narcolepsy can greatly impact daily life. Some key symptoms include sudden muscle weakness while awake, known as cataplexy, causing a person to go limp or be unable to move. People with narcolepsy may also experience vivid, dream-like images, or hallucinations, when falling asleep or waking up, as well as sleep paralysis, which is a temporary inability to move or speak just before falling asleep or upon waking.

In a typical sleep cycle, a person enters rapid eye movement (REM) sleep after about 60 to 90 minutes. During REM sleep, dreams occur, and the brain keeps muscles limp to prevent acting out dreams. However, people with narcolepsy enter REM sleep much faster, often within 15 minutes of falling asleep. The muscle weakness or dream activity associated with REM sleep can also occur while they are awake, explaining some of the symptoms of narcolepsy.

Without proper diagnosis and treatment, narcolepsy can severely impact psychological, social, and cognitive functions. It can hinder academic performance, work efficiency, and social interactions. Managing narcolepsy effectively involves understanding these symptoms and seeking appropriate medical care to improve quality of life.

Here are some practical tips and approaches to help manage the condition effectively.

Lifestyle Changes

1. Take short naps. Schedule short, regular naps throughout the day, especially during times when you feel most drowsy. These naps can help alleviate excessive daytime sleepiness (EDS).

2. Maintain a regular sleep schedule. Go to bed and wake up at the same time every day, including weekends. Consistency helps regulate your sleep patterns and improve sleep quality.

3. Avoid caffeine and alcohol before bed: Refrain from consuming caffeine and alcohol several hours before bedtime, as they can interfere with your ability to fall asleep and stay asleep.

4. Avoid smoking, Especially at Night: Nicotine can disrupt sleep, so it’s best to avoid smoking close to bedtime.

5. Exercise daily: Engage in at least 20 minutes of exercise daily, ideally four to five hours before bedtime. Regular physical activity enhances sleep quality and helps prevent weight gain, which can exacerbate narcolepsy symptoms.

6. Avoid large, heavy meals before bed: Eating large meals right before bedtime can make it harder to fall asleep. Opt for lighter meals in the evening.

7. Relax before bed: Incorporate relaxing activities into your bedtime routine, such as taking a warm bath. Ensure your sleep environment is cool and comfortable to promote better sleep.

Behavioral Approaches and Sleep Hygiene

Behavioral approaches focus on modifying lifestyle and daily habits to manage narcolepsy symptoms and minimize associated physical and emotional challenges. Good sleep hygiene is crucial for improving sleep quality and overall well-being. Here are additional practical tips:

  • Consistent bedtime and wake time: Establish a stable sleep schedule to ensure adequate rest and help your body adjust to regular sleep times.
  • Avoid alcohol and sedatives: These substances can disrupt sleep cycles and worsen daytime sleepiness. It’s best to avoid them, especially during the day.
  • Limit caffeine intake: Since caffeine can stay in your system for hours, avoid consuming it late in the day to prevent it from disrupting your nighttime sleep.
  • Create a sleep-friendly environment: Minimize light and noise in your bedroom. Use blackout curtains, a sleep mask, or a white noise machine to create an optimal sleep setting. Keep the room at a comfortable temperature and ensure your mattress and bedding are supportive and comfortable.
  • Limit electronic device use at night: Electronic devices like cell phones, laptops, and tablets can keep your brain alert and emit blue light, which may interfere with your internal clock. Try to limit their use before bedtime.

By integrating these lifestyle changes and maintaining good sleep hygiene, individuals with narcolepsy can better manage their symptoms and improve their quality of life. Combining these strategies with appropriate drug therapy, under the guidance of a healthcare professional, offers a comprehensive approach to treating narcolepsy. Connect with Alaska Sleep Clinic for your free consultation today.

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Alaska Sleep Clinic's Blog

Our weekly updated blog aims to provide you with answers and information to all of your sleeping questions.

Brent Fisher, MBA, FACHE, FACMPE
President and Chief Executive Officer

“Alaska Sleep Clinic has a history of providing the most comprehensive sleep medicine services in the state of Alaska. Its potential has only begun. I am here to take these high-quality, comprehensive services to all Alaskans.”

Experience

Brent Fisher has held leadership positions spanning a wide variety of complex and start-up organizations: manufacturing (pharmaceutical & medical device), software development, hospitals (academic and community), medical groups, consulting, hospice, military, engineered devices, engineered plastics, and private equity.

Publications and Organizations

His writings have been published in various magazines, trade journals, and medical journals, including the Physician Executive Journal, Healthcare Executive, Modern Healthcare, Group Practice Journal, New England Journal of Medicine, and Journal of Healthcare Management (Best Article Award).

He has served on the Board of Directors of professional associations, civic organizations, and businesses.

Hobbies and Activities

Brent enjoys being with his family, serving in the community, hiking, camping, fishing, and hunting.