5 ms·

Wow what a surprise ending, I thought the CPAP was going to solve your low energy and malaise problem but it was Prozac? How did the CPAP affect your energy le

by sizzle 5y ago

Wow what a surprise ending, I thought the CPAP was going to solve your low energy and malaise problem but it was Prozac? How did the CPAP affect your energy levels though? Did you try it that before jumping on an antidepressant? I wish you tried CPAP and see how you felt before letting a doctor feed you pills that may or may not have been needed do to a positive Narcolepsy diagnosis, which effects quality of sleep and life and arguably sleep deprivation would lead to depressive episodes and would subside once you get all your REM cycles every night for days and weeks and months.

dsr_ 5y ago
Trying to diagnose somebody over the Internet is problematic even when the symptoms being described are already being successfully treated. https://pubmed.ncbi.nlm.nih.gov/19699146/ https://pubmed.ncbi.nlm.nih.gov/19699146/ -- I'll summarize it for you: when OSA appears along with narcolepsy, CPAP doesn't solve the narcolepsy and often interferes with the diagnosis of narcolepsy.
- sizzle 5y ago
  Sorry I am not understanding the conclusion from your post, other than CPAP is ineffective for OSA. When did I or anyone else diagnose OP? The antidepressants are a completely different class of drugs that affect brain chemistry, so that was all I was commenting on. The OP didn’t go to a psychiatrist to get assessed for depression, yet their primary care provider put them on antidepressants as part of a positive diagnosis of Narcolepsy?? Wouldn’t they fare better with Modafinil for wakefulness if they have OSA and will still struggle staying awake during daylight hours? I’m just trying to understand how Prozac came from the diagnosis of OSA and Narcolepsy without evaluation by a psychiatrist?
  - longtimelistnr 5y ago
    I have narcolepsy so I may provide some clarity. CPAP is useless for narcolepsy as narcolepsy is not breathing issue. Narcolepsy is a neural condition in which the body does not properly gain energy during sleep resulting in daytime sleepiness. This can be aided with a multitude of drugs, all of which affect the brains prefrontal cortex which also happens to be the part of the brain where ADHD, BPD, and anxiety/depression stem from. This can mean you may have any one of those conditions or just select symptoms in addition to narcolepsy. I cannot answer about the Prozac specifically but I can say Modafanil may exacerbate problems the patient was unaware of or would rather avoid at a cost of trying other drugs. Likely OP did receive consultation on many drug options with potentially preexisting depression being a factor in choosing Prozac.
    - sizzle 5y ago
      Thank you for the great explanation. It gave me a few new avenues for me to go educate myself further on the topic, as I will have to provide care for a parent that is on CPAP with OSA and now I understand why they are on Celexa. Take care!

by sizzle 5y ago

dsr_ 5y ago

Trying to diagnose somebody over the Internet is problematic even when the symptoms being described are already being successfully treated. https://pubmed.ncbi.nlm.nih.gov/19699146/ https://pubmed.ncbi.nlm.nih.gov/19699146/ -- I'll summarize it for you: when OSA appears along with narcolepsy, CPAP doesn't solve the narcolepsy and often interferes with the diagnosis of narcolepsy.

sizzle 5y ago
Sorry I am not understanding the conclusion from your post, other than CPAP is ineffective for OSA. When did I or anyone else diagnose OP? The antidepressants are a completely different class of drugs that affect brain chemistry, so that was all I was commenting on. The OP didn’t go to a psychiatrist to get assessed for depression, yet their primary care provider put them on antidepressants as part of a positive diagnosis of Narcolepsy?? Wouldn’t they fare better with Modafinil for wakefulness if they have OSA and will still struggle staying awake during daylight hours? I’m just trying to understand how Prozac came from the diagnosis of OSA and Narcolepsy without evaluation by a psychiatrist?
- longtimelistnr 5y ago
  I have narcolepsy so I may provide some clarity. CPAP is useless for narcolepsy as narcolepsy is not breathing issue. Narcolepsy is a neural condition in which the body does not properly gain energy during sleep resulting in daytime sleepiness. This can be aided with a multitude of drugs, all of which affect the brains prefrontal cortex which also happens to be the part of the brain where ADHD, BPD, and anxiety/depression stem from. This can mean you may have any one of those conditions or just select symptoms in addition to narcolepsy. I cannot answer about the Prozac specifically but I can say Modafanil may exacerbate problems the patient was unaware of or would rather avoid at a cost of trying other drugs. Likely OP did receive consultation on many drug options with potentially preexisting depression being a factor in choosing Prozac.
  - sizzle 5y ago
    Thank you for the great explanation. It gave me a few new avenues for me to go educate myself further on the topic, as I will have to provide care for a parent that is on CPAP with OSA and now I understand why they are on Celexa. Take care!