Excessive Daytime Sleepiness - Coping

Coping

EDS is often the manifestation of a disorder, and not a sign of a willful lack of effort. Without firm and knowledgeable counseling on the part of the physician, family members, educators, and employers can easily fail to accept EDS as part of an illness.

EDS can affect the ability to function in family, social, occupational, or other settings. A proper diagnosis, and treatment, of the underlying cause can help mitigate such complications. It can be difficult to accept that EDS is beyond a person's control; the unaffected may see sleepiness as an insult, a rejection, or as evidence for lack of interest. During occasional unique and/or stimulating circumstances, a person with EDS can sometimes remain animated, awake and alert, for brief or extended periods of time; this lends credence to an observer's assertions that the alertness is simply a matter of self control and that EDS can be 'willed away'.

The prescription medications, Provigil (modafinil) and Xyrem (sodium oxybate) oral solution, have been approved as a first-line treatment for EDS symptoms in the U.S., and have been proven extremely effective in the treatment of most symptoms. While there is declining usage of other drugs such as methylphenidate (Ritalin), dextroamphetamine (Dexedrine), amphetamine (Adderall), lisdexamfetamine (Vyvanse), methamphetamine (Desoxyn), and pemoline (Cylert), these psychostimulants still provide additive assistance under varying circumstances. .

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