ProHealth me-cfs Vitamin and Natural Supplement Store and Health
Home  |  Log In  |  My Account  |  View Cart  View Your ProHealth Vitamin and Supplement Shopping Cart
800-366-6056  |  Contact Us  |  Help

|
|
|
|
Chronic Fatigue Syndrome/ME resource providing news, me-cfs treatment information, medical abstracts and a support community for those coping with Chronic Fatigue Syndrome/ME.
 
Sign up for Our Free Newsletters
 

Ask the Chronic Fatigue Syndrome & Myalgic Encephalomyelitis Doctor


Ask the Doctor: What is the difference between narcolepsy and CFS?
Dr. Podell is a clinical professor at New Jersey's Robert Wood Johnson Medical School with special interests in CFS & Fibromyalgia

Ask the Doctor: What is the difference between narcolepsy and CFS?


Answered by Richard Podell, M.D., MPH www.DrPodell.org

Q: What is the difference between narcolepsy and CFS?

A: Narcolepsy is a neurological condition where people have severe daytime sleepiness despite having had a reasonable amount of sleep. People with narcolepsy typically are asleep within less than eight minutes after lying down. Or they can fall asleep suddenly without intending to.

People with narcolepsy do not typically suffer from the kind of poor stamina we see with the fatigue that is typically for CFS/ME. Nor do narcoleptics typically become much worse for many hours or days following modest degrees of physical activity.

Persons with CFS/ME are almost always tired, but are not necessarily sleepy. They can be sleepy of course, but severe, profound daytime sleepiness despite a reasonable amount of sleep is not typical for most people who have CFS/ME.

When people with CFS/ME are sleepy during the day despite having slept it’s important that the physician consider several potential causes including sleep apnea, periodic leg movement disorder, the sleep distorting effects of chronic pain and psychological distress. Narcolepsy can co-occur with CFS/ME but that coincidence is not common.

One of the judgments physicians have to make with CFS/ME patients is whether to refer to a sleep specialist for an overnight sleep study or other evaluations.

Most people with narcolepsy suffer from a deficiency of a brain neurotransmitter called hypocretin. Hypocretin promotes wakefulness. The medicines Provigil (modafanil) and Nuvigil act to increase hypocretin. These help people with narcolepsy stay awake.

I and other CFS/ME specialists have found that a significant minority of people with CFS/ME feel more awake and mentally alert with Provigil or Nuvigil even though they do not have narcolepsy. Because these medicines work within hours, I often recommend a one or two day trial. However, Provigil and Nuvigil usually do not help physical stamina. Both are controlled substances.
 
Richard Podell, M.D., MPH
Clinical Professor Rutgers -Robert Wood Johnson Medical School
www.DrPodell.org
Summit, NJ 07901



More Q & A's


Ask the doctor: Why is there so little research into CFS-ME? Why don’t we get respect?

Answered by Lucinda Bateman

Show Answer »




Do I have to live the rest of my life like this?

Answered by Dr. Charles Lapp

Show Answer »




How do I know that I really have chronic fatigue syndrome?

Answered by Lucinda Bateman, MD

Show Answer »





Sumbit Your Chronic Fatigue Syndrome & Myalgic Encephalomyelitis Question

Have a Question?

This is your opportunity to get questions about Chronic Fatigue Syndrome and Myalgic Encephalomyelitis answered by world-renowned doctors. Submit your question below and we'll pass it along to our network of ME/CFS physicians.
Submit Your Chronic Fatigue Syndrome & Myalgic Encephalomyelitis Question



Note: This information has not been reviewed by the FDA. It is generic, is not intended to prevent, diagnose, treat or cure any illness, condition or disease, and is not meant to replace the personal attention of a medical professional.
 
  Free Download: Fibro Friendly Snack Recipes

Natural Remedies

Magnesium: An Essential Supplement for ME/CFS Magnesium: An Essential Supplement for ME/CFS
Help for Soreness and Swelling: What Do Silkworms Have to Do With It? Help for Soreness and Swelling: What Do Silkworms Have to Do With It?
Rejuvenating the Brain - How PQQ Helps Power Up Mental Processing Rejuvenating the Brain - How PQQ Helps Power Up Mental Processing
SAD? Coping with Seasonal Affective Disorder
Running on Empty? Fuel Up with NADH Running on Empty? Fuel Up with NADH

Breaking News

Response to Vitamin B12 and Folic Acid in Myalgic Response to Vitamin B12 and Folic Acid in Myalgic...
Email Campaign for Equal Funding at NIH! Email Campaign for Equal Funding at NIH!...
Findings from a clinical and laboratory database developed Findings from a clinical and laboratory database developed...
Looking After Yourself Isn’t Selfish Looking After Yourself Isn’t Selfish...
Health News and Research

FIBROMYALGIA RESOURCES
What is Fibromyalgia?
Fibromyalgia Diagnosis
Fibromyalgia Symptoms
Fibromyalgia Treatments
| CFS RESOURCES
What is CFS?
ME/CFS Diagnosis
ME/CFS Symptoms
ME/CFS Treatments
| FORUMS
Fibromyalgia
ME/CFS
ADVANCED MEDICAL LABS
WHOLESALE  |  AFFILIATES
GUARANTEE  |  PRIVACY
CONTACT US
LIBRARY
RSS
SITE MAP
ProHealth on Facebook  ProHealth on Twitter  ProHealth on Pinterest  ProHealth on Google Plus
Credit Card Processing