Narcolepsy and Caffeine
Question:
"Boulderdash" <coxsportsd…@gmail.com> wrote in message
news:1111592884.339459.280400@l41g2000cwc.googlegroups.com… <some snipping to keep things shorter> > If I could take 800 or even 600mg of Provigil, I would, as 500 doesn’t > seem to make a difference. She mentioned Dexedrine, but that scares the > crap outta me. She’s very cautious about that, as where we live, she > has to write it for one month each and I must pick it up personally. > It’s classified a Class 2 drug. I go back in 3 months, but if it gets > worse, I may be seeing her sooner.
It sounds strange that she’s prepared to try harder drugs, but not higher dosages of the one you’re on. I get the feeling that your condition is a new area for her, and you’d be much better off looking for a specialist. > Anyway, that’s where I stand right now.I really have to worry about the > cataplexy in the evenings, and whenever I get too excited. I’m gonna > try and keep doing this routine until it stops working. And I hope it > doesn’t get too bad to hinder me from working completely. I’m all but > useless at home now. > Pete, any more suggestions or words of advice are greatly appreciated > from me. I seem to get most of my knowledge on stuff from your end of > the pond.
The site I started with was www.narcolepsy.org.uk. I requested info from them, and from there I was sent several other sites, and a fair bit of literature. I’m sure they wouldn’t mind sending you some, even though you’re not in the UK. Apart from that, most of the information I have came from my neurologist, although the occasional Google for ‘narcolepsy’ is interesting – don’t just stick to the web results, have a look on the news pages too. Oh, and if you come across the bunch of clowns who are currently suggesting Provigil as a great cure for jet lag, ignore them – they’re in dire need of a set of morals. Anyway, Provigil alone won’t help your cataplexy. Even on the high doses, I was still getting frequent attacks – like you, when startled, excited, etc. Without getting too explicit, let’s just say that my wife now wants me to go on a diet, after an attack in the bedroom…
The fact that you sound as bad, if not worse, than me, and you’re still driving around scares the living daylights out of me. I’m glad that the pavements I’ll be on are far, far away from you – but then, I don’t have all the details of your case, and I might be reading too much into it, based on my own experiences. I know it’s horrible to not be able to drive – being dependant on public transport and other people is a pain – but my situation got worse in the last few months, and now I can’t even leave the house without having someone along who understands my condition. So, I find I’m just becoming more and more reliant on other people, which is a pain in the neck. By the way, you’re not useless at home – you’re just not as useful as you used to be. Believe me, I know how you feel. I’ve had to simply make sure that I help around the house in every way that I can, whenever I can, firstly so that everything doesn’t become my poor wife’s job, and secondly, so that I don’t sink into a habit of believing that I can’t do certain things, when all it takes sometimes is extra precautions, or an adjustment to the way I do them. For example, it would be insane for me to go up a ladder to paint the outside of our house now – but there’s nothing wrong with a brush or roller on a long pole! Good luck, and, as this group shows, you’re not alone in this, no matter how much it feels like it sometimes!
Response:
Are you taking medication for your cataplexy? If you’re only taking Provigil (stimulant) for your EDS (sleepiness) you’re going to have trouble. Are you seeing a Neurologist or a Sleep Specialist? If you can find one, get to a Board Certified Sleep Specialist. This is not a disease that just any doctor should treat. Which of the four major symptoms do you have and to what degree? I’ve been lucky to find a good Specialist and also I’ve been able to dig up quite a bit of in-depth information about narcolepsy. It hasn’t been easy. Unless your doctor specialises in sleep medicine, chances are he(or she) may not have all of the information that you both need in order to treat your illness. As for the "FDA limit" of 400mg per day, that was my starting dosage and I’m due to go in next week to increase that and also my Xyrem(for cataplexy) dosage. Most of the Narcoleptics that I’ve spoken to take a higher dosage. If you’d like some contact info for some Narcolepsy groups online and also a patient to patient hotline (free), let me know and I’ll be happy to share. It really does help when you’re able to write to or speak to someone who has the same experiences… Lisa in Texas "Boulderdash" <coxsportsd…@gmail.com> wrote in message
news:1111592884.339459.280400@l41g2000cwc.googlegroups.com… – Hide quoted text — Show quoted text -> Saw my Neurologist yesterday. I’m not sure what the physician limits > are in the US to prescribe Provigil, but she does not feel comfortable > exceeding the FDA limit of 400mg a day. Also, and again, this may be > the difference in UK and US methodology, she wants me to continue to > take the caffeine pills before I drive, as that seems to help. I did > some research on the web and couldn’t find anything about Provigil and > caffeine pills contradicting themselves, just personal experiences. I’m > not doubting you Pete. Trust me. Do you know where I can read up on > this? I love learning new things. > My blood pressure on this stuff was 130/78, so that was pretty normal. > My wife is going in for a sleep study of her own as she has sleep apnea > and is on a CPAP machine. My doc says once she gets straightened out > and adjusted on her apnea, my wife must take over the driving. But > until then, she wants me to take whatever I need to stay awake. Driving > to work is not bad. It’s driving home. > If I could take 800 or even 600mg of Provigil, I would, as 500 doesn’t > seem to make a difference. She mentioned Dexedrine, but that scares the > crap outta me. She’s very cautious about that, as where we live, she > has to write it for one month each and I must pick it up personally. > It’s classified a Class 2 drug. I go back in 3 months, but if it gets > worse, I may be seeing her sooner. > Anyway, that’s where I stand right now.I really have to worry about the > cataplexy in the evenings, and whenever I get too excited. I’m gonna > try and keep doing this routine until it stops working. And I hope it > doesn’t get too bad to hinder me from working completely. I’m all but > useless at home now. > Pete, any more suggestions or words of advice are greatly appreciated > from me. I seem to get most of my knowledge on stuff from your end of > the pond.
Response:
Saw my Neurologist yesterday. I’m not sure what the physician limits are in the US to prescribe Provigil, but she does not feel comfortable exceeding the FDA limit of 400mg a day. Also, and again, this may be the difference in UK and US methodology, she wants me to continue to take the caffeine pills before I drive, as that seems to help. I did some research on the web and couldn’t find anything about Provigil and caffeine pills contradicting themselves, just personal experiences. I’m not doubting you Pete. Trust me. Do you know where I can read up on this? I love learning new things. My blood pressure on this stuff was 130/78, so that was pretty normal. My wife is going in for a sleep study of her own as she has sleep apnea and is on a CPAP machine. My doc says once she gets straightened out and adjusted on her apnea, my wife must take over the driving. But until then, she wants me to take whatever I need to stay awake. Driving to work is not bad. It’s driving home. If I could take 800 or even 600mg of Provigil, I would, as 500 doesn’t seem to make a difference. She mentioned Dexedrine, but that scares the crap outta me. She’s very cautious about that, as where we live, she has to write it for one month each and I must pick it up personally. It’s classified a Class 2 drug. I go back in 3 months, but if it gets worse, I may be seeing her sooner. Anyway, that’s where I stand right now.I really have to worry about the cataplexy in the evenings, and whenever I get too excited. I’m gonna try and keep doing this routine until it stops working. And I hope it doesn’t get too bad to hinder me from working completely. I’m all but useless at home now. Pete, any more suggestions or words of advice are greatly appreciated from me. I seem to get most of my knowledge on stuff from your end of the pond.
Response:
H-m-m-m-m, I seem to be experiencing much the same as you. You can read some of my posts listed under ‘Alertec’ experiences. I was also recently diagnosed with narcolpsy and am still awaiting a 2 day/2 night study to confirm. In the meantime, I am on 200mg modafinil (Provigil/Alertec) increasing every two weeks and it doesn’t seem to be doing anything to help. I am currently unable to work. I am seeking the same solution as you so please keep posting any you come up with. I also have been concerned that there might be something else going on in my head. How you continue to work feeling like that is beyond me. I wish I could. I am barely making it right now. But you will find some very good, supportive people in this group as I have, so hang in there and keep searching. Please post the results of the visit with your neurologist if you would be willing to share.
Response:
"Boulderdash" <coxsportsd…@gmail.com> wrote in message
news:1111444622.860417.263570@l41g2000cwc.googlegroups.com… – Hide quoted text — Show quoted text ->I was recently diagnosed with narcolepsy, although the symptoms have > been ongoing for some time now. The last few months have been very hard > as the sleepiness has worsened to the point where absolutely nothing > can keep me awake. I was put on Provigil. I am at the max amount now, > 400 mg a day. But I always need more "help" to keep me awake. Here’s my > routine everyday except weekends. In the morning, I drink one cup of > coffee, a red bull, a caffeine pill (200mg) and a Provigil (200 mg). I > am at my most awake for the next few hours, enough to get me to work (1 > hour drive) and get started at my job, then I start slowing down around > lunch and by 3 I’m almost unconscious. I have been sneaking 100mg of > Provigil at lunch time as a boost. I take another caffeine pill, > Provigil and a red bull (if I have one left) and that barely gets me > home (another 1+hour home). By the evening, I am so tired and groggy I > look and act drunk. The cataplexy is so bad at night and when I’m > driving home it’s scary. I’m at my wits end right now, as functioning > is very difficult. Staying awake all day long is almost impossible, > even with all the stuff I take. I don’t want to take so much, but it’s > keeping me from falling asleep at the wheel. I see my neurologist > Tuesday. I will talk with her about other solutions. > Now, if any of you have narcolepsy this bad, what have you done and > what can be done? The narcolespy has gotten worse extremely fast, > almost so fast I’m worried that it might be caused by a tumor. Can this > happen? I’m really looking for some fellow narcs with a few words of > advice. Any help would be appreciated. Thanks.
Mine is that bad, but I assure you, you are NOT on the maximum dosage. I’m currently on 600mg a day, and my neurologist and GP have both said that they might increase it to 800mg in four months time, depending on my progress. So far, the 600mg a day seems to be helping me a lot. I take 200mg first thing in the morning (6am-ish), and then another 400mg at about midday. I rarely go into a deep sleep before 6pm, on that dosage. For the cataplexy, my neurologist prescribed an antidepressant. It’s not that I’m depressed (although this is a depressing condition to have!), it’s that many of the ingredients in it combat the effects of cataplexy. Again, so far, so good. I’m much better than I was. Now for the bad news. If your condition is that bad, you should not be driving – under any circumstances. I don’t know what the law is wherever you live, but here in the UK, I was obliged to notify the DVLA the moment I was diagnosed. They liased with my doctor, and now I have no license. It’s a pain, but I’d rather have it that way than spend my life with someone’s blood on my hands, especially given that I DID fall asleep at the wheel on a couple of occasions – thankfully, without any serious consequences. I doubt if it’s a tumour that’s affecting you, but a newsgroup is not the place to ask – a medical professional is. my narcolepsy also deteriorated very rapidly. It does sound to me as if you are very stressed, and scared by what’s happening to you, and that, too, can cause the sleepiness to become worse. A depressive state also adds to it, and it is very common for narcoleptics to slip into a depressive state, because of the impact the condition has on their day-to-day lives. Oh, one last thing – when I was first prescribed Provigil, both the neurologist and the pharmacist where I filled the prescription advised me NOT to take any caffeine with it at all, as it could have nasty side effects. On the odd occasions when I have had anything with caffeine in, I have felt very tired fairly soon afterwards. What you think is keeping you awake might actually be having the opposite effect – it’s worth asking an expert. I do know, if I drank as much as you say you do, together with my Provigil, I’d be out cold most of the day. Good luck – but take these questions to a doctor, preferably one who specialises in sleep disorders!
Response:
I was recently diagnosed with narcolepsy, although the symptoms have been ongoing for some time now. The last few months have been very hard as the sleepiness has worsened to the point where absolutely nothing can keep me awake. I was put on Provigil. I am at the max amount now, 400 mg a day. But I always need more "help" to keep me awake. Here’s my routine everyday except weekends. In the morning, I drink one cup of coffee, a red bull, a caffeine pill (200mg) and a Provigil (200 mg). I am at my most awake for the next few hours, enough to get me to work (1 hour drive) and get started at my job, then I start slowing down around lunch and by 3 I’m almost unconscious. I have been sneaking 100mg of Provigil at lunch time as a boost. I take another caffeine pill, Provigil and a red bull (if I have one left) and that barely gets me home (another 1+hour home). By the evening, I am so tired and groggy I look and act drunk. The cataplexy is so bad at night and when I’m driving home it’s scary. I’m at my wits end right now, as functioning is very difficult. Staying awake all day long is almost impossible, even with all the stuff I take. I don’t want to take so much, but it’s keeping me from falling asleep at the wheel. I see my neurologist Tuesday. I will talk with her about other solutions. Now, if any of you have narcolepsy this bad, what have you done and what can be done? The narcolespy has gotten worse extremely fast, almost so fast I’m worried that it might be caused by a tumor. Can this happen? I’m really looking for some fellow narcs with a few words of advice. Any help would be appreciated. Thanks.