What is Narcolepsy?
Narcolepsy is a chronic neurological disorder caused by the brain's inability to regulate sleep-wake cycles normally. At various times
throughout the day, people with narcolepsy experience fleeting urges to sleep. If the urge becomes overwhelming, individuals will fall
asleep for periods lasting from a few seconds to several minutes. In rare cases, some people may remain asleep for an hour or longer.
In addition to excessive daytime sleepiness (EDS), three other major symptoms frequently characterize narcolepsy: cataplexy, or the
sudden loss of voluntary muscle tone; vivid hallucinations during sleep onset or upon awakening; and brief episodes of total paralysis at
the beginning or end of sleep. Narcolepsy is not definitively diagnosed in most patients until 10 to 15 years after the first symptoms
appear. The cause of narcolepsy remains unknown. It is likely that narcolepsy involves multiple factors interacting to cause neurological
dysfunction and sleep disturbances.
Is there any treatment?
There is no cure for narcolepsy. In 1999, after successful clinical trial results, the FDA approved a drug called modafinil for the treatment
of EDS. Two classes of antidepressant drugs have proved effective in controlling cataplexy in many patients: tricyclics (including
imipramine, desipramine, clomipramine, and protriptyline) and selective serotonin reuptake inhibitors (including fluoxetine and
sertraline). Drug therapy should be supplemented by behavioral strategies. For example, many people with narcolepsy take short,
regularly scheduled naps at times when they tend to feel sleepiest. Improving the quality of nighttime sleep can combat EDS and help
relieve persistent feelings of fatigue. Among the most important common-sense measures people with narcolepsy can take to enhance
sleep quality are actions such as maintaining a regular sleep schedule, and avoiding alcohol and caffeine-containing beverages before
On July 17, 2002, the FDA approved Xyrem (sodium oxybate or gamma hydroxybutyrate, also known as GHB) for treating people with
narcolepsy who experience episodes of cataplexy. Due to safety concerns associated with the use of this drug, the distribution of Xyrem
is tightly restricted.
What is the prognosis?
None of the currently available medications enables people with narcolepsy to consistently maintain a fully normal state of alertness. But
EDS and cataplexy, the most disabling symptoms of the disorder, can be controlled in most patients with drug treatment. Often the
treatment regimen is modified as symptoms change. Whatever the age of onset, patients find that the symptoms tend to get worse over
the two to three decades after the first symptoms appear. Many older patients find that some daytime symptoms decrease in severity
after age 60.
What research is being done?
The National Institute of Neurological Disorders and Stroke (NINDS) and other institutes of the National Institutes of Health (NIH)
conduct research into narcolepsy and other sleep disorders in laboratories at the NIH and also support additional research through
grants to major medical institutions across the country. The NINDS continues to support investigations into the basic biology of sleep,
including the brain mechanisms involved in generating and regulating sleep. Within the National Heart, Lung, and Blood Institute, also a
component of the NIH, the National Center on Sleep Disorders Research (NCSDR) coordinates Federal government sleep research
activities and shares information with private and nonprofit groups.
American Sleep and Epilepsy Centers