RLS makes it difficult to fall asleep, resulting in excessive sleepiness the next day. There may be a genetic component, while other research suggests low iron may be to blame. Narcolepsy is an often misunderstood sleep problem. During the night, a person with narcolepsy will awaken multiple times much like insomnia. People with narcolepsy may even fall asleep in the middle of a conversation or during a meal. Narcolepsy is fairly uncommon, probably affecting fewer than , people in the United States.
Anyone can have narcolepsy, though it usually develops in people between the ages of 7 and A noticeable change in your sleep schedule is one of the more common symptoms of depression. When you develop depression, you may sleep much more or much less than you used to. Sometimes sleep changes are an early sign of depression.
For other people, changes in sleeping habits occur after other signs appear. Depression has many potential causes, including unusual levels of certain brain chemicals, issues with the regions of the brain that manage mood, and traumatic events.
Some medications cause drowsiness as a side effect. Medications that commonly include excessive sleepiness include:. If you think your prescription medication is making you sleepy, talk with your doctor before you stop taking it. Studies have shown that older people spend the most time in bed but get the lowest quality of sleep. According to the study, sleep quality starts to decline in middle-aged adults. As we age, we experience less time in the deeper types of sleep and wake up more in the middle of the night.
It causes excessive sleepiness despite adequate or even long periods of sleep. People with IH struggle to wake up despite setting multiple alarms, and they may have difficulty getting out of bed. One of the most common treatments is continuous positive airway pressure CPAP. This therapy employs a small bedside machine that pumps air through a flexible hose to a mask worn over your nose and mouth.
Newer versions of CPAP machines have smaller, more comfortable masks. RLS can sometimes be controlled with lifestyle changes.
A leg massage or a warm bath before bedtime may help. Exercising early in the day may help with RLS and with your ability to fall asleep. Your doctor may recommend iron supplements if it appears your iron levels are low. Antihistamines and driving ability: evidence from on-the-road driving studies during normal traffic [published corrections appear in Ann Allergy Asthma Immunol.
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Driving performance and automobile accidents in patients with sleep apnea. Clin Chest Med. Role of snoring and daytime sleepiness in occupational accidents. Thorpy MJ. Cataplexy associated with narcolepsy: epidemiology, pathophysiology and management. CNS Drugs. Johns MW. Practice parameters for the indications for polysomnography and related procedures: an update for Centers for Medicare and Medicaid Services. Medicare Coverage Database. Polysomnography and sleep studies.
Accessed December 9, Daytime sleepiness and alertness. Principles and Practice of Sleep Medicine. Philadelphia, Pa. George CF. Vigilance impairment: assessment by driving simulators. Kreiger J. Clinical approach to excessive daytime sleepiness. Treatment with nasal CPAP decreases automobile accidents in patients with sleep apnea. Practice parameters for the treatment of snoring and obstructive sleep apnea with oral appliances: an update for Surgery for obstructive sleep apnoea.
Cochrane Database Syst Rev. Modafinil: a review of its pharmacology and clinical efficacy in the management of narcolepsy. Chervin RD. Sleepiness, fatigue, tiredness, and lack of energy in obstructive sleep apnea. Modafinil for excessive sleepiness associated with shift-work sleep disorder [published correction appears in N Engl J Med. N Engl J Med.
Wilens TE, Biederman J. The stimulants. Psychiatr Clin North Am. Boehlecke BA. This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference.
This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact afpserv aafp. Want to use this article elsewhere? Get Permissions. Read the Issue. Sign Up Now. Previous: Diagnosis and Treatment of Streptococcal Pharyngitis. Mar 1, Issue. Excessive Daytime Sleepiness. Excessive daytime sleepiness is one of the most common sleep-related patient symptoms, and it affects an estimated 20 percent of the population.
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Sign up for the free AFP email table of contents. Navigate this Article. Primary hypersomnias of central origin. In older children, it might be mistaken for laziness or lack of motivation. Suspect narcolepsy symptoms? Take a screener. Thinking beyond symptoms?
Learn about overall health in narcolepsy.
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