How To Manage Cataplexy

Use Medication When Needed

It's important for patients dealing with cataplexy to use medication when needed. Since cataplexy and narcolepsy are sleep disorders, patients probably won't be able to mitigate all the symptoms through simple sleep hygiene. After they've made normal sleep hygiene changes, medication can help them further manage cataplexy. The United States Food and Drug Administration (FDA) has approved doses of sodium oxybate between six and nine grams, which patients can take nightly for cataplexy. Sodium oxybate has been shown to reduce the intensity and frequency of cataplexy episodes. Possible side effects include nausea, headache, and dizziness. Some research indicates antidepressants like serotonin-noradrenaline reuptake inhibitors (SNRIs) can help manage cataplexy. Some patients have also shown results with antidepressants like desipramine, imipramine, and clomipramine. With that said, the evidence is varied and needs more research. Though some patients may benefit from these medications, others might not.

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Consume A Healthy Diet

One way to manage cataplexy is by consuming a healthy diet. Narcolepsy patients should pay careful attention to the foods they eat, as food has a serious impact on energy. It's best to avoid smoking or drinking alcohol, as these substances can cause symptoms to worsen. Some cataplexy medications also can't be taken with alcohol or there's a risk of serious, potentially life-threatening interactions. Carbohydrate-rich and heavy meals tend to increase tiredness during the 'energy crash.' Individuals also naturally become less alert in the middle or late afternoon, so eating a heavy lunch can just add to this. Heavy or spicy meals before bed can cause sleep disruptions. Experts recommend eating small portions that focus on protein and vegetables rather than carbohydrate-rich foods like bread and pasta. If individuals are not sure what they should be eating or what nutrients they need, it might be helpful to consult a nutritionist regarding their specific dietary requirements.

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