Learn how to cope with Narcolepsy without seeing doctors!Written by Ebe Heng
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The major side effects of these stimulants are irritability, anxiety, quickened heart rate, hypertension, substance abuse, and disturbances of nocturnal sleep. Methylphenidate and dextroamphetamine are known to cause hypertension. A common side effect of modafinil is headache, usually related to dose size, which occurs in up to 5 percent of patients. Pemoline poses a very low but noticeable risk for liver complication. None of these stimulants influence occurrence of narcolepsy’s auxiliary symptoms and usually are not used to treat them. Modafinil does not carry addiction potential that methylphenidate and dextroamphetamine do. In fact, latest development in treatment is a new modafinil drug called Provigil®, which does not act as a stimulant and so does not produce side effects like anxiety and irritability. Provigil’s therapeutic effects have been observed in maintenance of wakefulness test research, where patients have tripled their wakefulness. Although there is no cure for narcolepsy, excessive daytime sleepiness, sudden sleep onset, and cataplexy. Proper sleep hygiene,which includes a consistent sleep schedule and avoidance of shift work and alcohol, can drastically reduce ill impact of narcolepsy. And often, patients with narcolepsy feel refreshed after a short nap; therefore, taking short scheduled naps may greatly benefit patients combatting excessive daytime sleepiness.

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| | "Lean on Me"Cancer through a Carer's EyesWritten by Lorraine Kember
Continued from page 1 It was a sad realization to discover that for Brian there were no miracles; however, I learned a lot and it helped me to accept that he was dying. With my acceptance came a fierce determination to ease his burden. I continued to seek information regarding mesothelioma and pain and symptoms Brian would experience, due to progression of his disease. In this way, I came to understand importance of pain management and symptom control and realized that although I could not stop Brian from dying – I could help him to live. My acquired knowledge regarding pain and symptom management enabled me to communicate with Brian and to understand type of pain he was experiencing and intensity of that pain. I was then able to work hand in hand with his doctors, to bring his pain and symptoms under control. As my efforts resulted in his improved quality of life, I lost my sense of helplessness and gained strength.Together, we achieved for Brian, a quality of life few thought possible, considering nature of his disease. Testament to this, Brian survived for 2 years despite his prognosis of 3 to 9 months. Remained active and alert, drove his car for eighteen months after diagnosis and was not bed bound until three short days prior to his death. Brian passed away on 24th December 2001, he was 54 years old. I have written a book called “Lean on Me” Cancer through a Carer’s Eyes, in hope of helping others. My book includes; insight and discussion on: Pain Management, Symptom Control, Chemotherapy, Palliative Care, Quality of Life and benefit of dying at home. Featured also are excerpts and poems from my personal diary which portray roller coaster of my emotions as I cared for my terminally ill husband. For further information, recommendations, reviews, book excerpts and ordering facility please visit my website. www.cancerthroughacarerseyes.jkwh.com

Self published Author. Living in Perth Western Australia.
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