Narcolepsy is a chronic neurological disorder that affects the brain’s ability to control sleep-wake cycles. Individuals with narcolepsy experience excessive daytime sleepiness and sudden episodes of falling asleep at any time during the day. In this blog post, we will explore the symptoms, causes, and treatment options for narcolepsy.

Symptoms of Narcolepsy

The main symptom of narcolepsy is excessive daytime sleepiness. Individuals with narcolepsy may feel very tired and sleepy throughout the day, regardless of how much sleep they get at night.

Other common symptoms include:

⦁ Excessive Daytime Sleepiness: People with narcolepsy feel extremely sleepy during the day and often experience sudden and uncontrollable bouts of sleep. This can make it difficult to stay awake during normal activities, such as work or social events.
⦁ Cataplexy: Cataplexy is a sudden loss of muscle tone that is triggered by emotions, such as laughter or anger. During a cataplexy episode, a person may experience weakness or paralysis in certain parts of their body, including their face, arms, or legs.
⦁ Sleep Paralysis: Sleep paralysis is a temporary inability to move or speak that occurs when waking up or falling asleep. People with narcolepsy may experience sleep paralysis when they are falling asleep or waking up.
⦁ Hypnagogic Hallucinations: These are vivid, dream-like experiences that occur when falling asleep or waking up. People with narcolepsy may experience hypnagogic hallucinations, which can be frightening or disturbing.
⦁ Automatic behavior: Performing routine tasks without conscious awareness.
⦁ Fragmented Sleep: People with narcolepsy often have difficulty staying asleep at night and may wake up frequently or experience insomnia.

Causes of Narcolepsy

The exact cause of narcolepsy is not fully understood, but it is believed to be a combination of genetic and environmental factors.

Researchers have found that narcolepsy is associated with a lack of hypocretin, a chemical in the brain that regulates wakefulness. This lack of hypocretin is thought to be due to an autoimmune disorder, in which the body’s immune system attacks the cells that produce hypocretin.

Other factors that may contribute to the development of narcolepsy include:

⦁ Genetics: There is evidence that narcolepsy may be inherited, as there is a strong association between the disorder and certain genetic markers.
⦁ Age: Narcolepsy most commonly develops in the teenage years or early adulthood.
⦁ Brain injuries: Head injuries or other traumas to the brain may increase the risk of narcolepsy.
⦁ Brain Chemistry: Narcolepsy may be caused by an imbalance in the levels of certain brain chemicals, such as hypocretin, which help to regulate sleep-wake cycles.
⦁ Autoimmune Disorders: There is also evidence that narcolepsy may be caused by an autoimmune disorder in which the immune system attacks and damages the cells in the brain that regulate sleep.
⦁ Infections: In rare cases, narcolepsy may be triggered by infections, such as streptococcal infections or H1N1 flu.

Treatment Options for Narcolepsy

Although there is no cure for narcolepsy, there are several treatment options that can help manage the symptoms of the condition. These include:
⦁ Stimulants: Medications such as modafinil and methylphenidate can help improve alertness and reduce daytime sleepiness.
⦁ Antidepressants: Antidepressant medications, such as selective serotonin reuptake inhibitors (SSRIs), can help reduce the symptoms of cataplexy and improve nighttime sleep.
⦁ Sodium oxybate: This medication can improve sleep quality and reduce symptoms of narcolepsy.
⦁ Lifestyle changes: Establishing a regular sleep schedule and taking short naps throughout the day can help manage symptoms. Certain lifestyle changes, such as practicing good sleep hygiene, avoiding alcohol and caffeine, and taking regular naps, can help manage the symptoms of narcolepsy.
⦁ Behavioral therapy: Cognitive-behavioral therapy (CBT) can help people with narcolepsy learn to manage their symptoms and improve their quality of life.


Narcolepsy is a chronic neurological disorder that affects the brain’s ability to control sleep-wake cycles. If you are experiencing symptoms of narcolepsy, it is important to speak with our providers at Enticare to determine the best course of treatment for your individual case. Contact us at 418-214-9000.

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