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	<title>Ask The Sleep Experts &#187; Blog</title>
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		<title>Is it okay to take Provigil for pain-related fatigue and somnolence?</title>
		<link>http://www.askthesleepexperts.com/2007/03/29/is-it-okay-to-take-provigil-for-pain-related-fatigue-and-somnolence/</link>
		<comments>http://www.askthesleepexperts.com/2007/03/29/is-it-okay-to-take-provigil-for-pain-related-fatigue-and-somnolence/#comments</comments>
		<pubDate>Thu, 29 Mar 2007 00:23:36 +0000</pubDate>
		<dc:creator>The Sleep Experts</dc:creator>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[Sleep Medications]]></category>

		<guid isPermaLink="false">http://www.askthesleepexperts.com/2007/03/29/is-it-okay-to-take-provigil-for-pain-related-fatigue-and-somnolence/</guid>
		<description><![CDATA[My mom has a condition called fibromyalgia and she is always in extreme pain. Itâ€™s painful just by looking at her every time she gets those pain episodes. It is interfering with her sleep and we can tell because she tends to be really grouchy and sullen at the same time and we understand that. [...]]]></description>
			<content:encoded><![CDATA[<p><em>My mom has a condition called fibromyalgia and she is always in extreme pain. Itâ€™s painful just by looking at her every time she gets those pain episodes. It is interfering with her sleep and we can tell because she tends to be really grouchy and sullen at the same time and we understand that. Is it okay to put her on Provigil? Pain keeping you up all night can turn you into someone else. Provigil can at least allow her to do her daytime routine as normally as possible instead of fighting sleep and fatigue. Would it be safe?</em><span id="more-50"></span><br />
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We may not realize it but sleep deprivation brought about by various sleeping disorders and other causes is on the rise and may probably be on its all-time high. We hear of complaints of insomnia and sleep apnea everywhere. And then thereâ€™s shift work sleep disorder and jet lag. No wonder sleeping aids and stimulants such as Provigil are doing good in the market.</p>
<p>The main symptom of lack of quality sleep is fatigue and excessive daytime sleepiness. To be able to attain that much coveted sleep, people just indulge in sleeping aids and when that doesnâ€™t work, they take stimulants to keep them on their feet when they need to be. Call it pathetic but thatâ€™s whatâ€™s happening.</p>
<p>But another main cause of inadequate sleep is pain. I guess thatâ€™s pretty obvious. People who have arthritis, migraines, fibromyalgia and those who are seriously ill and are experiencing pain in one form or another generally do not get as much sleep as those who are not in any pain. They need to have to be assisted by pain relievers and other pain relief measures.</p>
<p>The lack of sleep brought about by pain causes the same debilitating symptoms of fatigue and drowsiness and even depression. That is why experts are looking at Provigil as a pharmacologic measure to control fatigue and daytime somnolence related to pain. Provigil and pain-relievers may just be what these people need to live as normally and as pain-free as possible.</p>
<p>Provigil is a neurostimulant drug that is used in controlling symptoms of narcolepsy. It promotes alertness and continued wakefulness without affecting normal sleep. With proper dosage and timing of intake in a patient who is paralyzed by pain, Provigil can just be his best friend.</p>
<p>However, more clinical studies have to be conducted to make sure it is safe to use Provigil. Pain relievers may interact with Provigil once they are taken together so extreme caution should be observed. Not to mention Provigil is a stimulant which makes it potential for abuse.</p>
<p>I would assume some people who are in pain and are aware of the effects of Provigil are already on the drug, for the purpose of managing fatigue and drowsiness, without a prescription. And they may be doing okay on it right now but we never know about tomorrow. Donâ€™t get me wrong. I know what it feels like to be in pain. Provigil is great. But it would be even better if you let your doctor assess you first because there are certain medical conditions wherein Provigil therapy is contraindicated.</p>
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		<title>Provigil for depression and narcolepsy: Two birds in one stone?</title>
		<link>http://www.askthesleepexperts.com/2007/03/26/provigil-for-depression-and-narcolepsy-two-birds-in-one-stone/</link>
		<comments>http://www.askthesleepexperts.com/2007/03/26/provigil-for-depression-and-narcolepsy-two-birds-in-one-stone/#comments</comments>
		<pubDate>Mon, 26 Mar 2007 14:40:25 +0000</pubDate>
		<dc:creator>The Sleep Experts</dc:creator>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[Sleep Medications]]></category>

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		<description><![CDATA[&#160; 
Is it safe to take Provigil for depression? I understand Provigil is a drug for narcolepsy but it is also popular as a mood enhancer so I am assuming it would be perfect for depression. Besides, I heard this isn&#8217;t addicting at all so it&#8217;s totally safe, isn&#8217;t it? 
Provigil (modafinil) is a new [...]]]></description>
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<p><em>Is it safe to take Provigil for depression? I understand Provigil is a drug for narcolepsy but it is also popular as a mood enhancer so I am assuming it would be perfect for depression. Besides, I heard this isn&rsquo;t addicting at all so it&rsquo;s totally safe, isn&rsquo;t it?</em><span id="more-49"></span> </p>
<p>Provigil (modafinil) is a new drug manufactured by Cephalon Inc and is FDA-approved for the treatment of excessive daytime sleepiness and fatigue associated with narcolepsy and other sleeping disorders. However, it has been noticed that more than half of Provigil users are not narcoleptics at all, but choose to use the drug for its off-label uses.   Provigil has been found to be a great memory booster and mood enhancer sans side effects common among traditional stimulants like amphetamines.  Provigil is not yet recognized by the FDA as a mood and memory enhancer. However, several researches suggested that Provigil can be used as an effective adjunct therapy to patients experiencing clinical depression. Provigil was given to subjects with depression and it showed significant positive results after several days of trial.  Now, you might be wondering what a drug for a sleep disorder like narcolepsy has to do with depression. Simple. The common features of clinical depression include lack of energy and hypersomnia, or excessive sleepiness. And if I remember correctly, these two are also major signs of sleep deprivation seen in narcolepsy which is exactly what Provigil is for.  This drug is thought to act on the hypothalamus, the part of the brain involved in regulating mood and wakefulness, which means Provigil for depression could be a big possibility in the near future. Provigil also claims to have a lower potential for abuse, it being a neurostimulant which acts on specific receptors in the nervous system other than the so-called dopamine receptors that is associated with pleasure and euphoria <a href="http://www.bnl.gov/bnlweb/pubaf/pr/1999/bnlpr090199.html">leading to abuse </a>and subsequent dependence. Provigil, in depression, simply enhances mood and induces wakefulness in near-natural and, apparently, safer ways.  But let us not forget the fact that depression also causes sleeping disorders such as insomnia. Which means excessive use of stimulants can aggravate insomnia and further increase in excessive daytime sleepiness and fatigue. Not to mention excessive and prolonged use of stimulants can lead to depression. That is why we need the help of professionals to regulate the timing and dosage when taking Provigil for depression.  A lot of things has to be taken into consideration before taking drugs, especially regulated ones such as Provigil for depression.  A medication intended for one disorder with symptoms similar to another disorder may be used for that other disorder as long as it has been proven that using the medication for both of these disorders will be safe and not cause further complications.   I guess there is lesser harm in waiting for the U.S. Food and Drug Authority&rsquo;s approval than in going ahead and taking the drug especially without your doctor&rsquo;s blessing. There are a lot of other ways to deal with excessive daytime sleepiness and sluggishness and depression. All you need to do is get up and look. <!--adunit#belowpostad--></p>
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		<title>Have you heard of Respironicsâ€™ Profile Lite CPAP mask?</title>
		<link>http://www.askthesleepexperts.com/2007/03/23/have-you-heard-of-respironics%e2%80%99-profile-lite-cpap-mask/</link>
		<comments>http://www.askthesleepexperts.com/2007/03/23/have-you-heard-of-respironics%e2%80%99-profile-lite-cpap-mask/#comments</comments>
		<pubDate>Fri, 23 Mar 2007 00:49:53 +0000</pubDate>
		<dc:creator>The Sleep Experts</dc:creator>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[Sleep Apnea]]></category>

		<guid isPermaLink="false">http://www.askthesleepexperts.com/2007/03/23/have-you-heard-of-respironics%e2%80%99-profile-lite-cpap-mask/</guid>
		<description><![CDATA[I was diagnosed with sleep apnea and prescribed a CPAP for almost a year now. During the first few weeks I was really struggling trying to get used to sleeping with my CPAP mask on until I decided to just quit it. But the apnea and the snoring is really taking its toll on me. [...]]]></description>
			<content:encoded><![CDATA[<p><em>I was diagnosed with sleep apnea and prescribed a CPAP for almost a year now. During the first few weeks I was really struggling trying to get used to sleeping with my CPAP mask on until I decided to just quit it. But the apnea and the snoring is really taking its toll on me. I heard a Profile Lite CPAP mask by the Respironics company will make it easier for me to stick to my therapy, but will it really? How?</em><span id="more-48"></span> <!--more--><!--adunit#body-->Respironics Inc. is one of today&rsquo;s leading manufacturers of medical equipments dealing with sleep and respiratory issues. One of Respironics&rsquo; most in-demand products is the CPAP machine and its accessories, i.e. CPAP masks, humidifiers, nasal interfaces, etc. Respironics offers a wide variety of CPAP masks: full face masks, Soft series masks, Goldseal, and Comfort series masks. One of the most popular among these Respironics CPAP masks is the Respironics Profile Lite CPAP Mask. I know you are itching to find out what makes Respironics Profile Lite CPAP Mask a hit among CPAP users. Well, the Profile Lite Mask is lightweight. It feels like you&rsquo;re not wearing any mask at all. At least you don&rsquo;t feel the pressure on your face the way you do when you are using regular masks. And the Profile Lite Mask can be customized according to the user&rsquo;s preferences. How? Place the new mask in hot water for not more than five minutes and transfer to a bowl of cold water for 10 seconds to let it cool down. While it is still wet, press it against your face to mold your facial shape and contour. Do this for about five minutes or until the new molded mask dries. You can redo the whole process anytime should you feel you don&rsquo;t have the perfect fit. Additional features of Respironics Profile Lite CPAP Mask is the built in Flap that molds to the nose&rsquo;s contour to reduce air leaks, and the forehead gel spacer that helps reduce pressure on the forehead and on the bridge of the nose. You can choose from among three different sizes of gel spacers for optimal comfort. If you want to find out more or if you are interested in the Profile Lite Mask, you can always ask your sleep specialist about it or contact your durable medical equipment (DME) provider and maybe you can try one out for yourself, to see how you like it. <!--adunit#belowpostad--></p>
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		<title>What do I need to know about CPAP nasal pillows?</title>
		<link>http://www.askthesleepexperts.com/2007/03/21/what-do-i-need-to-know-about-cpap-nasal-pillows/</link>
		<comments>http://www.askthesleepexperts.com/2007/03/21/what-do-i-need-to-know-about-cpap-nasal-pillows/#comments</comments>
		<pubDate>Wed, 21 Mar 2007 02:25:56 +0000</pubDate>
		<dc:creator>The Sleep Experts</dc:creator>
				<category><![CDATA[Blog]]></category>

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		<description><![CDATA[I heard about a new CPAP accessory called a CPAP nasal pillow. Would that be a good alternative to my CPAP mask? Iâ€™m having trouble trying to sleep because I am fully aware of the maskâ€™s pressure on my face and when I do get that sleep, I get woken up finding my mask askew [...]]]></description>
			<content:encoded><![CDATA[<p><em>I heard about a new CPAP accessory called a CPAP nasal pillow. Would that be a good alternative to my CPAP mask? Iâ€™m having trouble trying to sleep because I am fully aware of the maskâ€™s pressure on my face and when I do get that sleep, I get woken up finding my mask askew or totally off my face. I would love to switch to nasal pillows but I need to know more about this first.</em><span id="more-47"></span><br />
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Continuous positive airway pressure (CPAP) therapy may currently be the best treatment there is for sleep apnea but its side effects are keeping patients from sticking to the therapy leading to more problems like continued sleep disruption, drowsiness and other symptoms of sleep deprivation.</p>
<p>One of the most common side effects of CPAP therapy is dryness of the nasal and oral cavities. Cracked and flaky skin around the nose, nose bleeds, nasal congestion, sore throat, and mouth dryness are among the most common complaints of patients on CPAP therapy. CPAP machine manufacturers have come up with add-on options such as humidifiers (heated and passover humidifiers) to counteract these side effects.</p>
<p>Another CPAP side effect that is equally unpleasant to CPAP users is the feeling of claustrophobia when using traditional CPAP face masks. The pressure of the CPAP mask on the face can be uncomfortable and can cause even more sleep disturbance. That is why the creation of CPAP nasal pillows is, literally, a breather.</p>
<p>A CPAP nasal pillow is an alternative to CPAP face masks. Unlike the mask, which covers the entire nose and mouth and part of the face, a CPAP nasal pillow is attached only to the nostrils, designed to fit in there snugly. There are two types of CPAP nasal pillows: standard and dilator type. A standard CPAP nasal pillow has a shorter stem compared to a dilator CPAP nasal pillow that has a longer stem and extends further up the nose.</p>
<p>CPAP nasal pillows come with a headgear that secures the pillow well, reducing the likelihood of dislodgement while you sleep. It allows a more comfortable feeling when you sleep because the breathing would feel a lot more normal and your face is free of any pressure. Some nasal pillows also has a strap that supports the chin to make sure that you are breathing through your nose.</p>
<p>In getting yourself a CPAP nasal pillow or switching into one from CPAP face masks, you must contact your durable medical equipment (DME) supplier and get yourself fitted with the nasal pillow thatâ€™s appropriate for you. It is important that you know what you want and you get the perfect fit for it to be more effective.</p>
<p>For a more comfortable experience when using CPAP nasal pillows, choose one that has an angle adapter to prevent air leaking. These air leaks can cause irritation of the nostrils. Lubricating ointments may also be helpful to reduce friction and irritation. To be safe, talk to your physician first and be briefed regarding CPAP nasal pillows and how to use it in such a way that you get all the benefit.</p>
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		<title>What is a CPAP humidifier?</title>
		<link>http://www.askthesleepexperts.com/2007/03/19/what-is-a-cpap-humidifier/</link>
		<comments>http://www.askthesleepexperts.com/2007/03/19/what-is-a-cpap-humidifier/#comments</comments>
		<pubDate>Mon, 19 Mar 2007 05:32:44 +0000</pubDate>
		<dc:creator>The Sleep Experts</dc:creator>
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		<description><![CDATA[I have been on CPAP therapy for a month now and I feel like discontinuing the CPAP because it is causing me more trouble than when I wasnâ€™t on therapy. I have had runny nose and nose dryness since I have been on the CPAP and once I even noticed tiny cracks around my nose. [...]]]></description>
			<content:encoded><![CDATA[<p><em>I have been on CPAP therapy for a month now and I feel like discontinuing the CPAP because it is causing me more trouble than when I wasnâ€™t on therapy. I have had runny nose and nose dryness since I have been on the CPAP and once I even noticed tiny cracks around my nose. Honestly, I am reluctant to discontinue therapy because that would mean going back to sleepless nights and drowsiness. I was told a CPAP humidifier is just what I need but I need some additional information on this first.</em><span id="more-46"></span><br />
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It is undeniable that CPAP therapy is the easiest, most effective way of treating sleep apnea and breathing problems associated with respiratory failure. However, it is also not beyond every CPAP userâ€™s knowledge that CPAP therapy has its side effects that are potentially dangerous.</p>
<p>Continuous positive airway pressure (CPAP) therapy involves the administration of rapidly moving air into the lungs through the nose to keep the airway open and increase oxygenation. The pressurized air causes the mucous membranes in the nose, throat, and mouth to dry out making it prone to irritation and infection. Most common complaint of CPAP users are nasal stuffiness, dry and itchy nose, and even nosebleeds, which can be quite uncomfortable for the patient.</p>
<p>To manage this side effect, a saline nasal spray may be effective, as well as a nasal decongestant. You can ask your doctor for a prescription or you can get them over-the-counter. But the simplest and probably the most effective way in preventing nasal stuffiness and dryness is the use of a CPAP humidifier while on CPAP therapy for increased air humidification or moisture.</p>
<p>A CPAP humidifier can single-handedly address the problem of dryness and irritation because of the additional moisture it provides to the rapidly moving air, keeping the tissues where the pressurized air passes moist and preventing further tissue breakdown.</p>
<p>There are two types of CPAP humidifiers available in the market today: heated CPAP humidifier and passover CPAP humidifier. Both types are effective in preventing dryness and stuffiness. But the most recommended type, both by experts and users alike, is the heated CPAP humidifier.</p>
<p>The passover humidifier simply involves the use of a chamber of water attached to the CPAP. The air coming from the machine passes through the water chamber adding moisture to it before it goes to the mask and into the nasal cavity. However, this is not as useful during cold weather because the temperature of the water in the chamber also drops as the weather gets colder. This is also not advisable for CPAP requiring high pressure delivery because the air passing through the water chamber will be unable to gather enough moisture from the water.</p>
<p>Heated CPAP humidifier, on the other hand, uses heat to add moisture to the rapidly moving air. The amount of heat can be adjusted according to the amount of pressure the patient will be needing. It has also been noticed that patients who use the heated CPAP humidifier has a higher compliance rate than those who uses the nonheated CPAP humidifier.</p>
<p>CPAP humidifiers are add-on options to make CPAP therapy a better experience for patients who are experiencing breathing and sleeping problems like sleep apnea. This helps them stick to the therapy more comfortably. Ask your doctor about it if you feel you are not comfortable with the CPAP therapy anymore.</p>
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