Clinical Insights: Case-Based Approaches to Narcolepsy Care and Treatment Optimization

Karl Doghramji, MD, FAASM, DFAPA, and Chelsie Monroe, MSN, APN, PMHNP-BC, utilize their expertise in the management of sleep disorders to provide an overview of narcolepsy, educating the audience on how to recognize this condition in their patient populations.

Experts on narcolepsy delve into the pathophysiology of the disorder, reviewing its underlying mechanisms and emphasizing the pivotal role of orexins in regulating sleep.

Chelsie Monroe, MSN, APN, PMHNP-BC, and Karl Doghramji, MD, FAASM, DFAPA, offer comprehensive insights on how to diagnose narcolepsy, highlighting symptoms and diagnostic testing practices.

Focusing on the evaluation and management of narcolepsy, experts provide insights on clinical assessment practices and treatment classes.

Experts on narcolepsy discuss review the case of a 35-year-old woman with excessive daytime sleepiness and hypnagogic hallucinations and offer their clinical insights on treatment strategies.

The panel offers comprehensive insights on adapting narcolepsy treatments for patients who experience adverse effects, achieve partial response, or have a history of substance abuse.

Chelsie Monroe, MSN, APN, PMHNP-BC, and Karl Doghramji, MD, FAASM, DFAPA, discuss the complex case of a 23-year-old man who presents with excessive daytime sleepiness, cataplexy, hallucinations, and episodes of neurocardiogenic syncope.

Building upon the discussion of a complex case of a patient with narcolepsy, the panel provides clinical insights on cotreatment practices.

Focusing on the case of a 9-year-old with excessive daytime sleepiness and sudden episodes of muscle weakness, the panel discusses the difficulty in diagnosing pediatric patients with narcolepsy.

Experts on narcolepsy offer perspectives on non-pharmacologic interventions for pediatric patients with narcolepsy, including lifestyle changes.

Karl Doghramji, MD, FAASM, DFAPA, and Chelsie Monroe, MSN, APN, PMHNP-BC, conclude the discussion with advice for clinicians who treat patients with narcolepsy.