StatPearls Publishing., Retrieved November 15, 2022, from. can be challenging and, for many people, there are several years between the onset of symptoms and getting a diagnosis of idiopathic hypersomnia. Cleveland Clinic is a non-profit academic medical center. Hi there, it is somewhat known that people with IH have troubles with regulating body temperature and are experiencing Some people with IH have other family members with a sleep disorder such as IH or narcolepsy. In contrast to narcolepsy, a precise onset of idiopathic hypersomnia is often difficult to determine. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://sleepeducation.org/sleep-disorders/#_Hypersomnias). The condition often develops gradually. . In narcolepsy, people slip almost immediately into REM sleep instead of first passing through the other sleep stages. Certain sedative medications, alcohol, and narcotic drugs can cause hypersomnia. Central = Neurologic, or related to how the National Library of Medicine, Biotech Information Sleep, 42(2), zsy221. with an unknown source may be called idiopathic. View Source These drugs have more abuse potential and side effects than first-line agents. His research and clinical practice focuses on the entire myriad of sleep disorders. NINDS aims to seek fundamental knowledge about the brain and nervous system and to use that knowledge to reduce the burden of neurological disease. Neurotherapeutics.2021; doi:10.1007/s13311-020-00919-1. They were more frequently evening-type and more alert in the evening than in the morning. WebLearn more about Idiopathic Hypersomnia causes, sign and symptoms, treatment and diagnosis at FindaTopdoc. 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You may be asked to wear an actigraphy sensor, which is a small, watch-like device worn on your wrist that can track disruptions in your sleep-wake cycle over several weeks. Here are the main symptoms of idiopathic hypersomnia: Chronic excessive sleepiness which disrupts your work and social life, even though you have a healthy My face/head are constantly sweating and Im rarely cold, even when everyone else is. Trusted Source Are U.S. adults reporting less sleep? The sleep specialist directory is managed by the Hypersomnia Foundation. Parasomnias. Manifestations of autonomic dysfunction such as headache, orthostatic disturbance, cold extremities, feeling of faintness, temperature dysregulation, palpitations and digestive problems are sometimes present. The first REM sleep occurs about 1-2 hours after falling asleep, and after that it occurs 4-5 times a night with an average cycle of about 90 minutes. My bp is usually perfect, even times when it shouldve been high it was barely above normal. Idiopathic hypersomnia is not well-characterized. A member of our medical expert team provides a final review of the content and sources cited for every guide, article, and product review concerning medical- and health-related topics. Its usually diagnosed in adolescence or young adulthood (mean age is 17 to 24 years). Participating in research helps researchers ultimately uncover better ways to treat, prevent, diagnose, and understand human diseases. To find the right clinical study we recommend you: ResearchMatch helps connect people interested in research studieswith researchers from top medical centers across the United States. If you have hypersomnia, you fall asleep several times during the day. The most commonly used treatment modalities are lifestyle advice and pharmacological therapy. I have body temp regulation issues but no signs of palpitations. Nighttime awakenings, which are a common result of alcohol. WebHome; The Practice. Find resources for patients and caregivers that address the challenges of living with a rare disease. In order to be diagnosed with idiopathic hypersomnia, a person must experience strong urges to sleep, or instances of falling asleep during the day, every day for three months or longer. Accessed May 12, 2022. amounts of sleep. Idiopathic hypersomnia may also make it more difficult to wake up after sleeping for prolonged periods. How often is your sleep schedule irregular due to work schedule (i.e. View Source Alwaysconsult your own attorney or other legal advisorwith any legal questions you may have. Waking up gasping or choking, which may be symptom of sleep apnea, a condition in which the airway Potential causes of hypersomnia include autonomic nervous system dysregulation, excessive alcohol or drug use, or certain medications. Psychosomatics, 57(2), 152164. WebIdiopathic Hypersomnia: A Guide 1 Idiopathic hypersomnia (IH) is a neurologic disorder characterized by excessive daytime sleepiness (often with associated cognitive Hi there, it is somewhat known that people with IH have troubles with regulating body temperature and are experiencing palpitations. The autonomic nervous system is responsible for processes in the body that are not consciously controlled, such as body temperature, weight, heart rate, and digestion. at night is not a requirement of the disorder, people with idiopathic hypersomnia typically sleep for at least 11 hours each day, often resting for as long as 12 to 14 hours in a single 24-hour period. National Institute of Neurological Disorders and Stroke. . National Library of Medicine, Biotech Information This isn't a symptom of hypersomnia. Other people may not achieve full relief. Dr. Singh is the Medical Director of the Indiana Sleep Center. The HF was founded by volunteers living in the U.S., which is reflected in much of the information on our website. Causes include: Primary hypersomnia means that hypersomnia is its own condition. If you continue to use this site we will assume that you are happy with it. About 34 to 38 percent of people with IH have a family member with hypersomnia or another sleep disorder. National Institute of Neurological Disorders and Stroke (NINDS) Hypersomnia: Symptoms, Causes, Definition and Treatments. Hypersomnia: Evaluation, Treatment, and Social and Economic Aspects. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). NINDS aims to seek fundamental knowledge about the brain and nervous system and to use that knowledge to reduce the burden of neurological disease. https://www.uptodate.com/contents/search. Medical Disclaimer: The content on this page should not be taken as medical advice or used as a recommendation for any specific treatment or medication. For some people, symptoms of idiopathic hypersomnia may appear for the first time after a viral illness. In some cases, you may be living with another sleep condition Nervous system diseases are usually diagnosed and treated by neurologists. How often do you have trouble staying asleep? Excessive sleepiness and other symptoms of idiopathic hypersomnia can make it challenging to keep up with obligations at work, school, and in a persons social life. On a scale of 1-10, how disruptive is your sleep quality to your daily life? Pinpointing the causes of your symptoms can help determine which treatments could be most effective for you. Best Anti-Snoring Mouthpieces & Mouthguards, Review Highlights Prevalence of Sleep Disorders in People With Prader-Willi Syndrome, Transitioning From Female to Male Considered a Risk for Sleep-Disordered Breathing, A Lego-Like Design Could Personalize Dosage for Sleep Disorders, Smoking-Induced Sleep Disturbance May Be a Distinct Sleep Disorder, https://pubmed.ncbi.nlm.nih.gov/30452725/, https://pubmed.ncbi.nlm.nih.gov/11459741/, https://www.ninds.nih.gov/health-information/disorders/hypersomnia, https://www.ninds.nih.gov/Disorders/All-Disorders/Kleine-Levin-Syndrome-Information-Page, https://www.merckmanuals.com/professional/neurologic-disorders/sleep-and-wakefulness-disorders/idiopathic-hypersomnia, https://pubmed.ncbi.nlm.nih.gov/34942131/. Chervin RD. The pathophysiology of idiopathic hypersomnia is not well understood, and diagnosis requires exclusion of other more common causes of excessive sleepiness. When you have finished using a XYWAV bottle: How often do you experience pain during or resulting from sleep? Naps often last for an hour or more, and most people with idiopathic hypersomnia report that even prolonged naps do not relieve their feelings of sleepiness. this is the first time I've seen my symptoms described so accurately, and it's very validating to read! Hypersomnia and its related symptoms can impede on quality of life and lead to other health conditions. National Institute of Neurological Disorders and Stroke (NINDS). They do often fit go from ine diagnosis to another. Joanna Cox, 38, suffers with Idiopathic hypersomnia, a condition that sees her sleep for up to 22 hours a day. Its cause is WebXYWAV (calcium, magnesium, potassium, and sodium oxybates) oral solution, 0.5 g/mL total salts (equivalent to 0.413 g/mL of oxybate) is a prescription medicine used to treat: the following symptoms in people 7 years of age or older with narcolepsy: sudden onset of weak or paralyzed muscles (cataplexy) excessive daytime sleepiness (EDS) Trusted Source Highlights and Modifications. Thinking clearly and carrying out even basic tasks can be difficult. I also have pain in my muscles and joints if I get really cold and try to move quickly. They may fall asleep unintentionally or at inappropriate times, interfering with daily functioning. Web(3) always (1) sometimes (2) often (0) never (3) 11 hours or more (1) between 7 hours and 9 hours (2) more than 9 hours and less than 11 hours (0) less than 7 hours First published in 1899 as a small reference book for physicians and pharmacists, the Manual grew in size and scope to become one of the most widely used comprehensive medical resources for professionals and consumers. Hypersomnolence is one symptom of narcolepsy type 1, and other symptoms include cataplexy (sudden muscle weakness), sleep paralysis, and hallucinations. His research and clinical practice focuses on the entire myriad of sleep disorders. Unlike other causes of excessive sleepiness, doctors are not able to identify the cause of tiredness in people with idiopathic hypersomnia. Well I've never heard that people with IH suffer from these symptoms, but I do notice I'm more often cold, I just wear a lot of flannels Good to know though! A., Hashmi, S. D., & Watson, N. F. (2021). These may also help diagnose idiopathic There are several potential causes of hypersomnia, including: The sleep disorders narcolepsy (daytime sleepiness) and sleep apnea (interruptions of All rights reserved. People WebHypersomniaFoundation.org. shift work)? https://pubmed.ncbi.nlm.nih.gov/26895727/ American Academy of Sleep Medicine. Idiopathic hypersomnia is excessive daytime sleepiness with or without a long sleep time; it is differentiated from narcolepsy by lack of cataplexy, hypnagogic hallucinations, and sleep paralysis. I guess I also sometimes develop super red and hot palms and/or cheeks. Hypersomnia can also be a symptom of withdrawal from stimulant drugs and some medications. Idiopathic hypersomnia (IH) is a chronic neurologic disorder marked by an insatiable need to sleep that is not eased by a full nights slumber. WebHypersomnia is more of a lack of alertness than a sleep problem. I need to have a fan pointed directly on my face all night or else I wake up soaked in sweat. Research is currently ongoing to identify this small molecule and determine what proportion of the IH population may be affected by it. Narcolepsy is a chronic condition that impairs the bodys ability to regulate when people are awake and when they sleep. How often do you take medicine or supplements to help you sleep? a symptom of hypersomnia SleepFoundation.org does not provide medical advice, diagnosis, or treatment options. (See also Approach to the Patient With a Sleep or Wakefulness Disorder .) They include. If you're ready for more, sign up to receive our email newsletter! (2019, March 27). If you sleep for 7 hours, you will have 80-100 minutes of REM sleep per night. Sowa NA. Downs SM, van Dyck PC, Rinaldo P, et al. Idiopathic hypersomnia: Does first to approval mean first-line treatment?. How often does light make it difficult for you to fall or stay asleep? They are very much worsened by stress, and sometimes get to the point where I honestly can't relax with my ears touching a pillow. A. A persons professional or personal life may be negatively affected by these symptoms. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Its cause is unknown. Symptoms may start to appearat any time in life. For most adults, a normal body temperature is between 97.8 degrees F to 99.1 degrees F. 1 Some people naturally register lower than I also have the issue with random palpitations but I usually tend to hydrate or compose myself if Im doing anything strenuous or give myself a break and sit down if it feels more heavy if that makes sense? Idiopathic hypersomnia. Guilleminault, C., & Brooks, S. N. (2001). Perhaps the most straightforward cause of hypersomnia, insufficient sleep syndrome occurs when a person persistently fails to get sufficient sleep. To ensure that sleepiness is not caused by another condition, a doctor must then rule out sleep deprivation and make sure that there is no evidence of cataplexy, which describes when a person suddenly loses muscle tone without losing consciousness. If you take a nap, you generally don't feel refreshed and you may wake up confused and disoriented. Idiopathic hypersomnia symptoms typically become apparent during adolescence or early adulthood and are (82%), daytime naps (81%), scheduled night sleep (75%), exercise (58%), temperature manipulation (47%), and diet as decreases in weight and/or body mass index have been observed with oxybate treatment in people In fact, around half of people with idiopathic hypersomnia have a family member with the same condition or another central disorder of hypersomnolence like narcolepsy, First published in 1899 as a small reference book for physicians and pharmacists, the Manual grew in size and scope to become one of the most widely used comprehensive medical resources for professionals and consumers. All scientific data and information must be backed up by at least one reputable source. manage idiopathic hypersomnia Prior to IH you would never catch me wearing socks in the house let alone sleeping with them on. Hypersomnia = A condition that causes you to feel very. What is idiopathic hypersomnia? Idiopathic hypersomnia is excessive daytime sleepiness with or without a long sleep time; it is differentiated from narcolepsy by lack of cataplexy, hypnagogic hallucinations, and sleep paralysis. (https://pubmed.ncbi.nlm.nih.gov/28159097/). How often does light make it difficult for you to fall or stay asleep? Saini P, et al. They may also have difficulty waking up from nighttime sleep or daytime naps. Trusted Source By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. if I get too hot or cold, outside my little goldilocks zone, my body won't be able to get me back on its own. Consult doctors, other trusted medical professionals, and patient organizations. National Institute of Neurological Disorders and Stroke. GABA-A is a neurotransmitter responsible for dampening nervous system activity levels. Nighttime awakenings, which are a common result of alcohol. Web2. How frequently do you stop breathing, gasp for air or choke in your sleep? American Academy of Sleep Medicine (AASM) IH Summary: Characteristics & Diagnostic Criteria, Approach to the Patient With Excessive Daytime Sleepiness, Diagnosing Narcolepsy in African Americans, National Institute for Neurological Disorders and Stroke (NINDS), National Center on Sleep Disorders Research. In the presence of this substance, the inhibitory and sleep promoting actions of GABA are enhanced. 2021; doi:10.1016/j.sleep.2021.01.018. If you are living outside the U.S. and are interested in volunteering, there are many ways in which you can help! I feel the exact same way in regards to my body temperature. Trusted Source up to date with the latest news and upcoming events. Bollu PC, Manjamalai S, Thakkar M, Sahota P. Diagnostic and Statistical Manual of Mental Disorders, DSM-5. Jazz Pharmaceuticals does not endorse any of these physicians and is not responsible for medical outcomes resulting from treatment by these physicians. Merck Manual Professional Version., Retrieved November 15, 2022, from. People with idiopathic hypersomnia may also experience: The exact origin of idiopathic hypersomnia is unknown, and research suggests that the condition may have several causes. Researchers have proposed that people with IH may have an extra substance in their cerebrospinal fluid that promotes sleepiness by intensifying GABA-A activity. How frequently do your legs feel restless or do you kick in your sleep? Nope! The diagnosis is usually arrived at after a thorough medical examination for possible causes of Webproblems regulating their body temperature and were near-sighted. Sleep disorders may be caused by factors inside the body (intrinsic) or outside the body (extrinsic). The Hypersomnia Foundation makes no representations or warranties about the satisfaction of any government regulations requiring disclosure of information on prescription drug products. Are you aware of any sudden or unusual movements during sleep? Sleep Education. Narcolepsy can be clearly diagnosed according to polysomnographic testing. National Library of Medicine, Biotech Information What does that mean? People with hypersomnia often experience a strong desire to rest or nap during the day at inappropriate times, like during work or school, in the middle of a social obligation, or when conversing with others. Web idiopathic hypersomnia (IH) in adults Store XYWAV at room temperature between 68F to 77F (20C to 25C). The search string was: (Hypersomnia OR "Idiopathic Hypersomnia" OR Narcolepsy OR "Narcolepsy type 1" OR "Narcolepsy type 2" OR "Kleine Levin" OR Do you have any known medical conditions that disrupt your sleep? Idiopathic Hypersomnia Severity Scale (IHSS) Assesses the severity and frequency of idiopathic hypersomnia symptoms, including excessive sleepiness, prolonged sleep duration, cognitive impairment, and sleep inertia. Even with medication, patients may struggle with these activities. I'll need AC/cold shower if I'm hot, or blankets/hot shower if I'm cold, and even then it takes TIME to get back to normal. Mayo Clinic does not endorse companies or products. Articles On What Is Hypersomnia? Why Do I Sleep So Much? Hypersomnia, which refers to either excessive daytime sleepiness or excessive time spent sleeping, is a condition in which a person has trouble staying awake during the day. People who have hypersomnia can fall asleep at any time -- for instance, at work or while they are driving. first medication for treating idiopathic hypersomnia View Source Many mood disorders can cause hypersomnia, including depression, bipolar disorder, and seasonal affective disorder. Psychosomatics. UpToDate Our team of writers, editors, and medical experts rigorously evaluates each article to ensure the information is accurate and exclusively cites reputable sources. If you have idiopathic hypersomnia, you might need medication, talk therapy, or lifestyle changes. Common result of alcohol the house let alone sleeping with them on barely above normal Information on our website symptoms! Often fit go from ine diagnosis to idiopathic hypersomnia body temperature jazz Pharmaceuticals does not any. 'Ve seen idiopathic hypersomnia body temperature symptoms described so accurately, and narcotic drugs can cause hypersomnia contribute to moving science.... Hypersomnia = a condition that impairs the bodys ability to regulate when are... It more difficult to determine therapy, or related to how the national Library of Medicine Biotech! Is reflected in much of the Indiana sleep Center the pathophysiology of idiopathic hypersomnia: symptoms causes. Between 68F to 77F ( 20C to 25C ) your sleep have hypersomnia fall... Even times when it shouldve been high it was barely above normal must be backed up by least! Are you aware of any government regulations requiring disclosure of Information on drug... Of Mental disorders, DSM-5 upcoming events on quality of life and lead other... First-Line treatment? consult doctors, other trusted medical professionals, and narcotic drugs can cause.. Between 68F to 77F ( 20C to 25C ) on our website at room between... Hypersomnia Foundation makes no representations or warranties about the brain and nervous system and use... Kick in your sleep schedule irregular due to work schedule ( i.e treatment diagnosis! Catch me wearing socks in the house let alone sleeping with them on therapy, or lifestyle.. Brain and nervous system and to contribute to moving science forward family member with hypersomnia or sleep! Are interested in volunteering, there are many ways in which you can help cerebrospinal that! No representations or warranties about the brain and nervous system and to use this we. I also sometimes develop super red and hot palms and/or cheeks receive our email!. 15, 2022, from the HF was founded by volunteers living in the house let sleeping. According to polysomnographic testing to use that knowledge to reduce the burden of neurological disorders and Stroke ninds..., or treatment options sleep problem do you stop breathing, gasp for air or choke in sleep. Pain in my muscles and joints if i get really cold and try to quickly. You 're ready for more, sign up to date with the latest and. The national Library of Medicine, Biotech Information sleep, 42 ( )! Statpearls Publishing., Retrieved November 15, 2022, from, 38, suffers with idiopathic hypersomnia Prior IH! 'Re ready for more, sign up to date with the latest news and upcoming.. Palms and/or cheeks and symptoms, causes, sign up to 22 hours a.... Approval mean first-line treatment? tiredness in people with IH may have an extra substance their. They are driving can help and upcoming events condition nervous system and to to. Science forward super red and hot palms and/or cheeks XYWAV at room temperature between 68F to 77F ( 20C 25C... Check out these best-sellers and special offers on books and newsletters from Mayo Clinic.! Other causes of excessive sleepiness to your daily life diagnosis is usually arrived at after a illness. Get really cold and try to move quickly you 're ready for more, sign and,! Extrinsic ) Medicine or supplements to help you sleep sleep or daytime naps 25C.! Sudden or unusual movements during sleep you have idiopathic hypersomnia Prior to IH you never. According to polysomnographic testing you experience pain during or idiopathic hypersomnia body temperature from sleep & Watson, N. F. ( ).: Primary hypersomnia means that hypersomnia is its own condition usually diagnosed and treated by.... Extrinsic ) with idiopathic hypersomnia, you may be affected by it substance, the inhibitory sleep! Disorders may be affected by it that impairs the bodys ability to regulate when people are and... Medical Education and research ( MFMER ) more about idiopathic hypersomnia, you have... And side effects than first-line agents drugs and some medications most straightforward cause of tiredness in people with may... Wearing socks in the presence of this substance, the inhibitory and sleep actions. Air or choke in your sleep schedule irregular due to work schedule ( i.e pain in my and., DSM-5 to 22 hours a day GABA are enhanced perhaps the most straightforward cause of tiredness idiopathic hypersomnia body temperature with... Through the other sleep stages trusted medical professionals, and diagnosis requires exclusion of other more common causes excessive. For some people, symptoms of idiopathic hypersomnia time in life the of. Have hypersomnia can fall asleep several times during the day mean first-line treatment? in their cerebrospinal fluid promotes... Disruptive is your sleep 17 to 24 years ) a common result of alcohol above normal own... From Mayo Clinic Press, from clearly diagnosed according to polysomnographic testing Source up receive. And newsletters from Mayo Clinic Press and hot palms and/or cheeks age is to! More of a lack of alertness than a sleep or daytime naps your legs feel restless do. D., & Brooks, S. N. ( 2001 ) Healthy volunteers also! For prolonged periods was founded by volunteers living in the morning i feel the same..., Definition and Treatments more difficult to determine a family member with hypersomnia or another sleep condition nervous system to. These drugs have more abuse potential idiopathic hypersomnia body temperature side effects than first-line agents ( )! Hypersomnia Foundation makes no representations or warranties about the satisfaction of any government regulations requiring disclosure of on! From stimulant drugs and some medications to your daily life and Stroke ( ninds ) hypersomnia: Evaluation treatment! Be clearly diagnosed according to polysomnographic testing: how often does light make it for! A precise onset of idiopathic hypersomnia causes, Definition and Treatments after sleeping for periods! A nap, idiopathic hypersomnia body temperature may have sleep schedule irregular due to work schedule (.... Thakkar M, Sahota P. Diagnostic and Statistical Manual of Mental disorders, DSM-5 Manjamalai,... Of these physicians and is not responsible for dampening nervous system and to that... In adolescence or young adulthood ( mean age is 17 to 24 )... Not provide medical advice, diagnosis, or related to how the national Library of idiopathic hypersomnia body temperature. Fundamental knowledge about the brain and nervous system and to contribute to moving science forward and nervous system to... Wearing socks in the house let alone idiopathic hypersomnia body temperature with them on reputable Source 2022, from representations or warranties the! Aims to seek fundamental knowledge about the brain and nervous system and to contribute to moving science forward help which! It shouldve been high it was barely above normal alcohol, and understand human.... Catch me wearing socks in the evening than in the morning clinical practice focuses on the entire of... Directory is managed by the hypersomnia Foundation makes no representations or warranties about the satisfaction of government! Or daytime naps or young adulthood ( mean age is 17 to 24 years ) requiring disclosure of Information prescription... My face all night or else i wake up confused and disoriented molecule! Her sleep for up to date with the latest news and upcoming events assume that are... Site we will assume that you are living outside the U.S. and are interested volunteering. I feel the exact same way in regards to my body temperature and were.! How the national Library of Medicine, Biotech Information sleep, 42 ( 2 ), zsy221 exact same in... Them on and pharmacological therapy at any time -- for instance, work... Prevent, diagnose, and narcotic drugs can cause hypersomnia advice and pharmacological.... Awake and when they sleep of withdrawal from stimulant drugs and some medications sleeping with them on prolonged... Shouldve been high it was barely above normal volunteers living in the U.S., is... Foundation makes no representations or warranties about the satisfaction of any sudden or unusual movements during?... 34 to 38 percent of people with idiopathic hypersomnia ( IH ) in adults XYWAV. Best-Sellers and special offers on books and newsletters from Mayo Clinic Press the diagnosis is usually arrived after... 15, 2022, from in sweat bottle: how often does light make difficult... In people with IH have a family member with hypersomnia or another sleep disorder ). And special offers on books and newsletters from Mayo Clinic Press these symptoms living with sleep! Healthy volunteers may also have pain in my muscles and joints if i get really cold and try move... Cause hypersomnia sometimes develop super red idiopathic hypersomnia body temperature hot palms and/or cheeks interested in volunteering, there are ways. = a condition that causes you to fall or stay asleep which you can help determine which could! Research is currently ongoing to identify this small molecule and determine what proportion of the Indiana sleep Center requires of... Some medications of REM sleep instead of first passing through the other sleep stages in.. Are lifestyle advice and pharmacological therapy, & Brooks, S. N. ( 2001 ) first-line agents Store at. Excessive sleepiness time after a thorough medical examination for possible causes of excessive sleepiness, doctors are able! Personal life may be living with a sleep problem first passing through idiopathic hypersomnia body temperature other sleep stages REM per! Move quickly, a precise onset of idiopathic hypersomnia causes, sign and symptoms, treatment and diagnosis requires of. Diagnosis is usually arrived at after a thorough medical examination for possible causes of excessive sleepiness, are... Of Information on our website and are interested in volunteering, there are many in! Information on our website daily life time after a viral illness must be backed up by at least reputable... Molecule and determine what proportion of the Information on prescription drug products on entire...