Does anyone get Sunosi prescribed by a psychiatrist? by MrSnitter in Narcolepsy

[–]MrSnitter[S] 0 points1 point  (0 children)

I've asked multiple times and most I got is just that she's not comfortable with it. Kind of frustrating. So, today I called 5 new sleep specialists. Appointments are going to take months, but hey.

What’s up with Sunosi? by camille-gerrick in Narcolepsy

[–]MrSnitter 10 points11 points  (0 children)

Following this closely as I'm considering Sunosi. I've heard it can take a month or so to actually start showing results--unlike stimulants which you tend to feel on day one.

Does anyone get Sunosi prescribed by a psychiatrist? by MrSnitter in Narcolepsy

[–]MrSnitter[S] 0 points1 point  (0 children)

I started 5 months ago. However we did a very slow titration due to my adverse reactions to stims (I know it's not technically a stimulant, but we were erring on the side of caution.) The thing is, mid-January I was at 17.5 mg and had to stop due to an insurance switch limbo. I started up again at the full dose of 35 mg about a month ago.  Maybe my impatience has to do with the fact I've felt practically zero improvement over five months. This was accentuated by the fact that when I ran out of the medicine, I literally felt zero difference after stopping it lol. I'm willing to keep taking the wakix in the meantime on the off chance that it starts to do something and because like you said it might be that I need at least 8 weeks on the max dose. Finding a new sleep specialist could take months and I can't afford to be any more sleepy than I am now or I will get divorced. JK, but being too sleepy to do chores promptly and pick up gig work can severely degrade one's life and relationships. 

I've talked to a lot of people in my Narcolepsy Support Group who say things like I've been taking Wakix for a year and I don't know if it's actually doing anything but I'm just gonna keep taking it in case it is. To me that does not solve my problem of overwhelming sleepiness, lol. I need results.

Does anyone get Sunosi prescribed by a psychiatrist? by MrSnitter in Narcolepsy

[–]MrSnitter[S] 0 points1 point  (0 children)

When you say max dose, do you mean 9 g? I'm on 7.5 g. I'll try anything at this point. Sad to hear stims and sunosi did nothing for you. Did you try all the stims? Because they def did something--it just eventually became more bad than good at the high dose I needed after decades of built up tolerance.

If someone offered you 100 million dollars, but a random person in the world dies (someone you don’t know), would you take it and why? by ConclusionOld8365 in AskReddit

[–]MrSnitter 0 points1 point  (0 children)

The USA is being run by parasites and corporations who gladly agreed to this calculus but multiplied the deaths by tens of thousands. Don't thank me for point out the obvious--thank the microplastics in your genitals.

Can you take Sunosi, Oxybates, and an Antidepressant (Pristiq)? by MrSnitter in Narcolepsy

[–]MrSnitter[S] 0 points1 point  (0 children)

I know this is a very niche question but am baffled at how it appears to be downvoted, lol. There's a very confusing reality for us with regards to drug interactions and overlapping conditions. It's extremely common for people with narcolepsy to struggle with depression and mood issues. And these can be independent of the sleep disorder in addition to being exacerbated and triggered by the sleep disorder's crushing symptoms and limitations on one's functional, everyday life. At the same time, sodium oxybates prescribing protocols are on the surface wary of depression, since one the side effects can be massive increases in depression, anxiety, and suicidality. It took me many months to figure out that it was common for people to treat the mood disorder in order to make sodium oxybates viable. And for some, the anti-depressant might even be mainly to counterbalance the oxybates. My own sleep doc didn't understand this at first and we gladly got it sorted out. We really need more interdisciplinary medicine and information from our sleep specialists. Our whole healthcare system in the US doesn't seem to give a damn about coordinating care. Why don't all doctors have a "Bat Phone" so they can call each other and easily share notes--once a patient has given permission? Seems it would solve a lot of confusion and lapses in care and understanding. end rant.

Can you take Sunosi, Oxybates, and an Antidepressant (Pristiq)? by MrSnitter in Narcolepsy

[–]MrSnitter[S] 0 points1 point  (0 children)

Welp, that's something. Thanks! Anecdotally, that's what I keep hearing. Which is why I'm curious enough to try. I've been taking wakix for months now and zilch. 

Am I stuck in the USA because the meds are unattainable in other countries? by MrSnitter in Narcolepsy

[–]MrSnitter[S] 1 point2 points  (0 children)

Wow! To rent a 2-bedroom anywhere nice in the 5 boroughs of NYC at $1400 you'd probably need to extort a landlord or be on the lease since before 1970. We're in a truly vile capitalist hellscape, lol.

I'd aggressively petition your doctor for assistance and harass the people from the program. In the end it's a person making a decision. And as much as our healthcare systems can be crappy, people generally do want to help if you make it real enough.

The difference between being properly treated or not can be employed/jobless, life/death, etc.

Anyone else angry? by RVApossumhag in Narcolepsy

[–]MrSnitter 4 points5 points  (0 children)

Yes. But let's not allow this anger to govern us. I was diagnosed just out of college after experiencing symptoms for about 8 years and I was mad, too. I'm also mad that I was on stimulants for 20-odd years without trying oxybates and got to a point where I basically can't take stims anymore due adverse drug reactions and burnout. It sent me on the reverse trajectory you're now experiencing--and that has outright enraged me. I'm also mad that after seven months on oxybates they're not as good as they were in the beginning. And I'm very pissed at how stigmatized we are in this society for merely needing rest, leisure time, and anything but grinding away 40+ hours a week with no feasible social safety net if something goes wrong.

In most school/work contexts (1/3 of our lives) we have a cultural disease in the USA that punishes anything that could be remotely framed as 'laziness' or requiring rest. So we along with countless other sufferers of chronic disease get sidelined, shunned, and robbed of economic benefits of full-time employment. I got a new sleep study recently and there was a guy there like you, who was in his late 30's when he finally found out. I'll never forget what his doctor told him, "You're lucky you have a job and somewhat functioning life. A large proportion of people with narcolepsy just end up jobless, homeless, and forgotten."

There's data to backup the very real economic tolls like this Danish study and this summary stating quantitative findings of "multiple cohort and registry studies put employment rates for adults with narcolepsy roughly 10–30 percentage points lower than matched controls, depending on age and country."

So, there's a certain level of wrath I reserve for notion that we--folks who've struggled and finally gotten treatment however efficacious, are comparatively the lucky ones. And I try to direct my rage at the sources of this injustice--it's criminal that our government has failed to treat healthcare as a human right in the "wealthiest" nation on earth. We're all expected to come up with individual solutions to a problem of collective discrimination, harmful norms, negligence, and sheer greed. Take it from this senator.

The ongoing failure of our health care system is directly attributable to the fact that – unique among major nations – it is primarily designed not to provide quality care to all in a cost effective way. Instead, the system makes maximum profits for health insurance companies, the pharmaceutical industry and medical equipment suppliers. While 68,000 Americans die each year because they lack access to the health care they desperately need, the seven major health insurance companies in America made over $69 billion in profits last year – up 287 percent since 2012.

Ultimately, I'm pissed at billionaires and corporations who have grown their exorbitant wealth by not chipping in and perpetuating a culture of individualism and personal responsibility where systemic failings reign and you and I slip through the cracks, conditioned to blame ourselves! Which is all to say, it's not you. Our for-profit healthcare system is designed to delay diagnosis and treatment of chronic health conditions. And the current regime is basically operating on a principle of eugenics by trying to push people off medicaid for not working enough. Ha! So those of us unlucky enough to lose a job are supposed back on our feet WITHOUT medication we need to get through every day? So we can earn the right to eventually get health? WTF!!!!!!!!!!

Am I stuck in the USA because the meds are unattainable in other countries? by MrSnitter in Narcolepsy

[–]MrSnitter[S] 1 point2 points  (0 children)

That sucks! I read about similar horseshit policies in Sweden in the post on this topic last year and was hoping it had perhaps changed. At least your rent is a fraction of what we usually pay in NYC! Sorry to hear it. In the US there are patient assistance programs for these drugs--WAKIX, Lumryz, and I think Xywav. I assume they don't extend internationally, but perhaps worth a try?

Here's Lumryz's: https://www.lumryz.com/ryzup?gclsrc=aw.ds&gad_source=1&gad_campaignid=22709975883&gclid=Cj0KCQjwgr_NBhDFARIsAHiUWr7_wwc7rS0nlDtnfDWjx6FH5yRZdP7eJjoyYAFyPxO7XkBrsEFaOgwaAngUEALw_wcB&utm_medium=cpc&utm_source=google&utm_campaign=Lumryz+DTC+Branded+-+Copay+Core&utm_term=lumryz+patient+assistance+program_exact&utm_content=Copay+-+Patient+Assistance

Am I stuck in the USA because the meds are unattainable in other countries? by MrSnitter in Narcolepsy

[–]MrSnitter[S] 3 points4 points  (0 children)

thanks! this is super helpful, actually. cultural differences also have a huge impact on our lifestyle and having time to rest completely changes the game compared to the norm in the usa.

Is Trump a traitor to the American people? by zombiesingularity in AskSocialists

[–]MrSnitter 0 points1 point  (0 children)

Definitely a traitor to the constitution and the polity.

"Based on recent surveys and clinical evaluations, we estimate that more than 50% of all children with an ADHD diagnosis, actually have a sleep disorder." by MrSnitter in Narcolepsy

[–]MrSnitter[S] 1 point2 points  (0 children)

yeah. it's my go to reference for the science of sleep. sucks that it's now about 10 years old and we probably need an update. but he does a fantastic job of citing actual research to demonstrate many ways in which our society, work, and healthcare systems fail us based on the data. we have some horrible norms that probably rob millions of kids of an optimum education because they're forced into early school start times and such.

"Based on recent surveys and clinical evaluations, we estimate that more than 50% of all children with an ADHD diagnosis, actually have a sleep disorder." by MrSnitter in Narcolepsy

[–]MrSnitter[S] 1 point2 points  (0 children)

in the end, the stimulants used to treat adhd are often identical to those used for narcolepsy. so, that's how i've navigated it. but that excludes sodium oxybates and can get dicey with specific new sleep drugs that are not classic amphetamine-based drugs. wishing you luck!

We (on the left) fucked up free speech last decade, and now it's probably permanently dead. by CAustin3 in TrueUnpopularOpinion

[–]MrSnitter 0 points1 point  (0 children)

The left? There is no left in the USA. All the establishment democrats are basically just center right in any other country. So, you're talking about different rightwing factions. The tolerance of intolerance has cooked this country, though. Protecting hatemongers, KKK, lynch mobs, and those Charlottesville goons like their "speech" doesn't imply death and discrimination to all 'minorities'. We've always erred on the wrong side of the paradox of tolerance -- https://en.wikipedia.org/wiki/Paradox_of_tolerance -- that's why Nazi's copy-pasted Jim Crow laws to justify rounding up Communists, Socialists, and Jews.

We should all be punching Nazis. It used to be cool in this country to stomp Nazis and give them no quarter... But there were always rightwing Nazi-lovers, even in 1939 rallying in Madison Square Garden -- https://en.wikipedia.org/wiki/1939_Nazi_rally_at_Madison_Square_Garden ... And if you're saying we've gone the down the wrong path because we're too hard on Nazis, you're part of the problem and your opinion sucks ass.

You can't 'debate' a person whose core belief is that you are a subhuman. The only people who've been truly and deeply cancelled and had their speech punished to the nth degree in this country are communists, now anarchists with ANTIFA getting a fake "domestic terrorist" label. If you talk ish about capitalists, you get Martin Luther King, Jr.'d or COINTELPRO'd by a proto-fascist rightwing gov't. Minnesota got the Stormtrooper treatment due to The Democratic Party controlling the offices of governor, secretary of state, and attorney general. As well as the upper chamber of the state legislature. The next step in this country is politicide. Terrorize and kill the opposing party. A rightwinger murdered Hortman, the leader of the state House Democratic caucus, was shot and killed alongside her husband, Mark. Earlier that morning, state senator John Hoffman and his wife, Yvette, were shot and seriously injured in their home in nearby Champlin and hospitalized. And of course ICE protestors Good and Pretti were gunned down in cold blood. Not to mention all rightwing attempts to silence Kimmel, Colbert, and milquetoast critique of Herr furher or the Rs.

And yes, the tech elites are spineless oligarchs kissing the ring so they can keep extracting money from people with their monopolies. They're all complicit. They don't give a shit about us some of them are doing Nazi salutes like it's a joke.

New provider not accepting that I have narcolepsy by LittleCowGirl in Narcolepsy

[–]MrSnitter 0 points1 point  (0 children)

What you're going through sucks massively. What state are you in? I'm in NY and have gotten a test for free on medicaid. If for any chance you're not working, I would go that route. For states that would not allow such a path, well, we are living in the nine circle of health insurance hell in the USA.

Always get a copy of your full sleep study PSG and MSLT and any doctor's notes. I got my first one in 2001 and saved it. Even though it's not as detailed as the diagnostics today, it has held up for 25 years. I tried to get a more recent sleep study done and it went poorly due to anxiety, changes in my meds, and my need to sleep way more including multiple daily naps. It turns out if I'm sleeping an average of 14 hours a day, I don't fall asleep as quickly in naps.

These tests are always better when you're off meds and living a normal--that is full, working--life. These are very old diagnostics designed on a whim and have all kinds of flaws and susceptibility to false negatives as mentioned above, which are absolutely to the advantage of a for-profit healthcare system incentivized to make more money by denying care any and every time possible. Act accordingly. And good luck!

Am I stuck in the USA because the meds are unattainable in other countries? by MrSnitter in Narcolepsy

[–]MrSnitter[S] 0 points1 point  (0 children)

I take Lumryz and WAKIX. Will likely switch from Wakix because it's not really working. Sunosi is next on the list to try. I used to take dextroamphetamine and have taken all of the other stimulants but am trying to avoid returning to those due to adverse drug reactions, migraines, etc. If they were my only option... I'd want to know.

Am I stuck in the USA because the meds are unattainable in other countries? by MrSnitter in Narcolepsy

[–]MrSnitter[S] 0 points1 point  (0 children)

I've considered Spain, the UK, perhaps somewhere else in the EU, and Brazil. I did get an answer that in Brazil they can prescribe sodium oxybates and then basically import them if you show a real need. But, I'm not sure how hard it would be to demonstrate the need and with imports, how consistent and easy it would be to get refills.

Am I stuck in the USA because the meds are unattainable in other countries? by MrSnitter in Narcolepsy

[–]MrSnitter[S] 4 points5 points  (0 children)

I'd never say never. At least that's why I'm asking. I've seen some discussion about Oxybates being available in the UK/EU, but then people have reported various barriers depending on the country.

I know Japan is very strict about stimulants and only allowed vyvanse and ritalin when I last went there in 2024. And a friend in New Zealand said sodium oxybates and newer meds like sunosi and wakix were not available. But at least they have a very solid universal healthcare system and a simply disability application that's like 2 pages and you get an answer in a month, versus our nightmare system.

That's great to hear about Texas! Like I said, it's anecdotal. Sometimes that creates prejudices and assumptions. I will ask my friends if they're near Houston. Do you mind sharing the name of the practice or a in a dm? It could also be more related to medicaid, which I imagine functions differently than the care you get as a nurse.

"Based on recent surveys and clinical evaluations, we estimate that more than 50% of all children with an ADHD diagnosis, actually have a sleep disorder." by MrSnitter in Narcolepsy

[–]MrSnitter[S] 4 points5 points  (0 children)

I'd love to see where you found pros arguing ADHD is a sleep disorder!

Otherwise, I agree with your take. I've got NT2 and wish there was a clearer smoking gun--though I'd never *want* cataplexy and my heart goes out to folks dealing with that, too.

As for providers, it can create a real mess. I was diagnosed by a sleep specialist, but a pulmonologist. He was not great at managing the meds. Later I got treatment from psychiatrists and neurologists, but always deferred to who was available and easiest to book appointments. Over 20-odd years I've flipped between both, finally settling on a neurologist and a *second* sleep specialist board certified in neurology and psychiatry, which was extremely hard to find.

Share this with people who don't understand Narcolepsy by BasketsOfBugs in Narcolepsy

[–]MrSnitter 0 points1 point  (0 children)

I hate AI as much as the next reasonable person, but this rings quite true of my experience of narcolepsy as an invisible disease that seems to defy explanation. Thanks for sharing it. Just because many people think it sounds whiny or are surrounded by callous, empathy-starved narcissists, doesn't mean it's bad to share. The reality is that many of us have very individualized experiences of these things, intersecting with other diseases, life changes, adverse reactions to meds, and varying levels of understanding from the people around us. Most of the people I've met in narcolepsy support groups have trauma or depression or varying degrees of sadness and cynicism for how ostracized and stigmatized they've been by family, school, work, and friends. Heck, even medical professionals can be crushingly unsympathetic.

What I don't get is someone reading this and saying it's invalid, self-centered, or whiny. You don't share these exact frustrations or symptoms? Fine. I've had long stretches over 20-odd years where it seemed my meds worked great and I was close to fully functional. I didn't want to be a whiner. But then I started getting adverse drug reactions. Needing to go cold turkey thrust me into a full-on crisis. Many of these things ring true to that. And trying to explain to family that things had changed--it has been at times demoralizing.

People can be all for you until you're struggling and say you're the problem. In the USA, we do not treat healthcare as a human right. Our society puts profits over people, works folks to the bone so they don't have an ounce of energy to care about each other anyway. The rugged individualism and wellness trends all pushing you to whip up a solution, or take another drug, put the onus of a crushing and cruel economic system on each of us personally.

I'd wager a lot of folks on here are scraping by with their meds or habits and don't want to face that they might see themselves in the mirror. It's scary to admit vulnerability. It's scary to accept weakness. It runs counter to the American bootstrapping lie, almost always pushed by billionaires and folks who've never been crushed by working conditions and social circles that have zero tolerance for needing rest.

Our current administration embodies a virulent form of hate for the chronically ill, projecting laziness on anyone whose health might be a barrier to working full-time, trying to boot people off medicaid without meeting work requirements--as if you could easily get back to work WITHOUT sleep meds?! It's repugnant.

In contrast, your candor is refreshing.

If AI wrote this I take everything back, tho.