Il trattamento della narcolessia

Translated title of the contribution: The treatment of narcolepsy

G. Didato, L. Nobili

Research output: Contribution to journalArticle

Abstract

Narcolepsy is a sleep disorder characterized, in its classical form, by excessive daytime sleepiness (EDS) with irresistible episodes of sleep, cataplexy, disrupted nocturnal sleep, hypnagogic/hypnopompic hallucinations and sleep paralysis. It is often underdiagnosed, but if it is suitably diagnosed, symptoms can be well treated by means of targeted drugs, such as: 1) modafinil, to treat EDS; 2) sodium oxybate, for cataplexy, but also for EDS and disrupted nocturnal sleep; 3) tricyclic and newer antidepressants, for cataplexy. Hallucinations and sleep paralysis can be treated with the same drugs used for cataplexy. Amphetamines and amphetamine-like stimulants are less prescribed nowadays. Behavioural measures are also important and useful. The discovery of hypocretin deficiency in narcoleptic patients opens new perspectives for the development of new therapeutic approaches for both EDS and cataplexy. Therapy for narcolepsy is chronic, hence symptomatic. However, a correct use of available drugs enables patients gaining a better quality of life, keeping under control the symptoms, that are heavily disabling, mainly from the social point of view.

Translated title of the contributionThe treatment of narcolepsy
Original languageItalian
Pages (from-to)81-99
Number of pages19
JournalMinerva Psichiatrica
Volume49
Issue number1
Publication statusPublished - Mar 2008

ASJC Scopus subject areas

  • Psychiatry and Mental health

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