Hypersomnia – Excessive Sleepiness Disorder Treatment Strategies

Hypersomnia – Excessive Sleepiness Disorder Treatment Strategies

Hypersomnia, which mentions to either excessive daytime sleepiness or excessive time spent sleeping, is a situation in which a person has trouble staying awake during the day. People who are facing the hypersomnia can fall asleep at any time — for instance, at work or while they are driving. They may also have other problems related to sleep, including a lack of energy and trouble thinking clearly. According to the National Sleep Foundation, 40% of people have a problem with hypersomnia in the whole world.

Causes of Hypersomnia

There are several possible causes of hypersomnia, including:

  • The sleep disorders narcolepsy (daytime sleepiness) and sleep apnea(interruptions of breathing during sleep)
  • Not getting enough sleep at night (sleep deprivation)
  • Being overweight
  • Drug or alcohol abuse
  • A head injury or neurological diseases, such as multiple sclerosis or Parkinson’s disease
  • Prescription drugs, such as tranquilizers or antihistamines
  • Genetics (having a relative with hypersomnia)
  • Depression
  • Misery

Diagnosing Hypersomnia

If you always feel drowsy during the day, talk to your doctor or your pharmacist. In making recognition of hypersomnia, your doctor will ask you about your sleeping habits, how much sleep you get at night if you wake up at night, and whether you fall asleep during the day. Your doctor will also want to know if you are having any emotional problems or you are taking drugs that may be interfering your sleep. Your doctor may also order some tests, including blood tests, a sleep test and computed tomography (CT) scans called polysomnography. In some occurrence, an additional electroencephalogram (EEG), which measures the electrical process of the brain, is needed.

Treatment of Hypersomnia

If you are determining with hypersomnia, your doctor can advise various drugs to treat it, including stimulants, antidepressants, as well as several newer medications (for example, Provigil and Xyrem).

If you are determined with sleep apnea, your doctor may prescribe a treatment known as continuous positive airway pressure or CPAP. With CPAP, you wear a mask over your nose while you are sleeping. A machine that delivers a constant flow of air into the nostrils is hooked up to the mask. The force from air flowing into the nostrils helps keep the airways open.

If you are taking a medical drug that causes drowsiness, ask your doctor about changing to one that is less likely to make you sleepy. You may also want to go to bed earlier to try to get extra sleep at night, and you have to leave alcohol and caffeine.


Excessive sleepiness is the main symptom that may be related to sleep poverty or other sleep disorders, such as narcolepsy, OSA, and SWSD. Uncontrolled sleepiness also is a frequent complaint of many patients with psychiatric illness. Sleep disorders and psychologist conditions often coexist. Miss-understanding of the relationship between these comorbidities may result in misdiagnosis, under-treatment and decreased quality of life. This, in turn, may lead to deal with personal and public safety, particularly when patients are driving or operating machinery.

An ideal determination begins with a point by point meeting with the patient about potential factors that may add to the anomalous drowsiness. The assessment movement may require a rest study. Non-pharmacologic ways to deal with fix ought to be presented at first, with an accentuation on appropriate rest cleanliness and, sometimes, the utilization of short prophylactic snoozes. In the event that these capacities don’t resolve the issue, a wake-advancing operator or stimulant drugs might be shown. A variety of classes and plans of medications are accessible. These drugs have been appeared to expand readiness, upgrade attentiveness, improve discernment and execution, and decline the abstract feeling of weariness and ought to turn out to be a piece of a far-reaching treatment program.

Excessive daytime sleepiness and impaired alertness are frequently difficult to identify and assess. However, because of the heavy social and economic load on society, clinicians should evaluate and treat excessive sleepiness as part of a comprehensive treatment regimen.


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