Skip to main content
Erschienen in: Sleep and Breathing 2/2020

10.07.2019 | Neurology • Review

Narcolepsy treatment: pharmacological and behavioral strategies in adults and children

verfasst von: Christian Franceschini, Fabio Pizza, Elena Antelmi, Maria Claudia Folli, Giuseppe Plazzi

Erschienen in: Sleep and Breathing | Ausgabe 2/2020

Einloggen, um Zugang zu erhalten

Abstract

Narcolepsy is a disabling, rare, and chronic sleep disorder, currently classified as distinct central nervous system hypersomnia in narcolepsy type 1 (NT1) and narcolepsy type 2 (NT2). Although today a reliable pathogenic hypothesis identifies the cause of NT1 as an autoimmune process destroying hypocretin-producing cells, there is no cure for narcolepsy, and the symptomatic pharmacological available treatments are not entirely effective for all symptoms. Behavioral therapies play a synergistic role in the disease treatment. We here review the available therapeutic options for narcolepsy, including symptomatic pharmacological treatments as well as behavioral and psychosocial interventions that could help clinicians improve the quality of life of patients with narcolepsy in adulthood and childhood.
Literatur
1.
Zurück zum Zitat AASM: American Academy of Sleep Medicine (2014) ICSD-3: international classification of sleep disorders, 3rd edn. American Academy of Sleep Medicine, Daniel AASM: American Academy of Sleep Medicine (2014) ICSD-3: international classification of sleep disorders, 3rd edn. American Academy of Sleep Medicine, Daniel
2.
Zurück zum Zitat Hagan JJ, Leslie RA, Patel S, Evans ML, Wattam TA, Holmes S, Benham CD, Taylor SG, Routledge C, Hemmati P, Munton RP, Ashmeade TE, Shah AS, Hatcher JP, Hatcher PD, Jones DNC, Smith MI, Piper DC, Hunter AJ, Porter RA, Upton N (1999) Orexin A activates locus coeruleus cell firing and increases arousal in the rat. PNAS 96:10911–10916. https://doi.org/10.1073/pnas.96.19.10911 CrossRef Hagan JJ, Leslie RA, Patel S, Evans ML, Wattam TA, Holmes S, Benham CD, Taylor SG, Routledge C, Hemmati P, Munton RP, Ashmeade TE, Shah AS, Hatcher JP, Hatcher PD, Jones DNC, Smith MI, Piper DC, Hunter AJ, Porter RA, Upton N (1999) Orexin A activates locus coeruleus cell firing and increases arousal in the rat. PNAS 96:10911–10916. https://​doi.​org/​10.​1073/​pnas.​96.​19.​10911 CrossRef
7.
Zurück zum Zitat Tashiro T, Kanbayashi T, Iijima S, Hishikawa Y (1992) An epidemiological study of narcolepsy in Japanese. J Sleep Res 1:228 Tashiro T, Kanbayashi T, Iijima S, Hishikawa Y (1992) An epidemiological study of narcolepsy in Japanese. J Sleep Res 1:228
22.
Zurück zum Zitat Schwartz JR, Feldman NT, Bogan RK, Nelson MT, Hughes RJ (2003) Dosing regimen effects of modafinil for improving daytime wakefulness in patients with narcolepsy. Clin Neuropharmacol 26:252–257CrossRef Schwartz JR, Feldman NT, Bogan RK, Nelson MT, Hughes RJ (2003) Dosing regimen effects of modafinil for improving daytime wakefulness in patients with narcolepsy. Clin Neuropharmacol 26:252–257CrossRef
23.
Zurück zum Zitat Schwartz JR, Nelson MT, Schwartz ER, Hughes RJ (2004) Effects of modafinil on wakefulness and executive function in patients with narcolepsy experiencing late-day sleepiness. Clin Neuropharmacol 27:74–79CrossRef Schwartz JR, Nelson MT, Schwartz ER, Hughes RJ (2004) Effects of modafinil on wakefulness and executive function in patients with narcolepsy experiencing late-day sleepiness. Clin Neuropharmacol 27:74–79CrossRef
24.
Zurück zum Zitat Billiard M, Besset A, Montplaisir J, Laffont F, Goldenberg F, Weill JS, Lubin S (1994) Modafinil: a double-blind multicentric study. Sleep 17:S107–S112CrossRef Billiard M, Besset A, Montplaisir J, Laffont F, Goldenberg F, Weill JS, Lubin S (1994) Modafinil: a double-blind multicentric study. Sleep 17:S107–S112CrossRef
25.
Zurück zum Zitat Broughton RJ, Fleming JA, George CF et al (1997) Randomized, doubleblind, placebo-controlled crossover trial of modafinil in the treatment of excessive daytime sleepiness in narcolepsy. Neurology 49:444–451CrossRef Broughton RJ, Fleming JA, George CF et al (1997) Randomized, doubleblind, placebo-controlled crossover trial of modafinil in the treatment of excessive daytime sleepiness in narcolepsy. Neurology 49:444–451CrossRef
27.
Zurück zum Zitat Beusterien KM, Rogers AE, Walsleben JA, Emsellem HA, Reblando JA, Wang L, Goswami M, Steinwald B (1999) Health- related quality of life effects of modafinil for treatment of narcolepsy. Sleep 22:757–765CrossRef Beusterien KM, Rogers AE, Walsleben JA, Emsellem HA, Reblando JA, Wang L, Goswami M, Steinwald B (1999) Health- related quality of life effects of modafinil for treatment of narcolepsy. Sleep 22:757–765CrossRef
31.
Zurück zum Zitat Lin J-S, Dauvilliers Y, Arnulf I, Bastuji H, Anaclet C, Parmentier R, Kocher L, Yanagisawa M, Lehert P, Ligneau X, Perrin D, Robert P, Roux M, Lecomte JM, Schwartz JC (2008) An inverse agonist of the histamine H(3) receptor improves wakefulness in narcolepsy: studies in orexin−/− mice and patients. Neurobiol Dis 30:74–83. https://doi.org/10.1016/j.nbd.2007.12.003 CrossRef Lin J-S, Dauvilliers Y, Arnulf I, Bastuji H, Anaclet C, Parmentier R, Kocher L, Yanagisawa M, Lehert P, Ligneau X, Perrin D, Robert P, Roux M, Lecomte JM, Schwartz JC (2008) An inverse agonist of the histamine H(3) receptor improves wakefulness in narcolepsy: studies in orexin−/− mice and patients. Neurobiol Dis 30:74–83. https://​doi.​org/​10.​1016/​j.​nbd.​2007.​12.​003 CrossRef
33.
Zurück zum Zitat Szakacs Z, Dauvilliers Y, Mikhaylov V, Poverennova I, Krylov S, Jankovic S, Sonka K, Lehert P, Lecomte I, Lecomte JM, Schwartz JC, Poluektov M, Yakupov E, Kalinkin A, Aksu M, Yilmaz H, Benbir G, Wolynczyk-Gmaj D, Jernajczyk W, Staykov I, Tavarari AN (2017) Safety and efficacy of pitolisant on cataplexy in patients with narcolepsy: a randomised, double-blind, placebo-controlled trial. Lancet Neurol 16:200–207. https://doi.org/10.1016/S1474-4422(16)30333-7 CrossRef Szakacs Z, Dauvilliers Y, Mikhaylov V, Poverennova I, Krylov S, Jankovic S, Sonka K, Lehert P, Lecomte I, Lecomte JM, Schwartz JC, Poluektov M, Yakupov E, Kalinkin A, Aksu M, Yilmaz H, Benbir G, Wolynczyk-Gmaj D, Jernajczyk W, Staykov I, Tavarari AN (2017) Safety and efficacy of pitolisant on cataplexy in patients with narcolepsy: a randomised, double-blind, placebo-controlled trial. Lancet Neurol 16:200–207. https://​doi.​org/​10.​1016/​S1474-4422(16)30333-7 CrossRef
35.
Zurück zum Zitat Mamelak M, Escriu JM, Stokan O (1977) The effects of gamma-hydroxybutyrate on sleep. Biol Psychiatry 12:273–288 Mamelak M, Escriu JM, Stokan O (1977) The effects of gamma-hydroxybutyrate on sleep. Biol Psychiatry 12:273–288
45.
Zurück zum Zitat Honda Y, Hishikawa Y, Takahashi Y (1979) Long-term treatment of narcolepsy with methylphenidate (Ritalin). Curr Ther Res 25:288–298 Honda Y, Hishikawa Y, Takahashi Y (1979) Long-term treatment of narcolepsy with methylphenidate (Ritalin). Curr Ther Res 25:288–298
48.
Zurück zum Zitat Mayer G, Meier-Ewert K, Hephata K (1995) Selegeline hydrochloride treatment in narcolepsy. A double-blind, placebo-controlled study. Clin Neuropharmacol 18:306–319CrossRef Mayer G, Meier-Ewert K, Hephata K (1995) Selegeline hydrochloride treatment in narcolepsy. A double-blind, placebo-controlled study. Clin Neuropharmacol 18:306–319CrossRef
52.
Zurück zum Zitat Shindler J, Schachter M, Brincat S, Parkes JD (1985) Amphetamine, mazindol, and fencamfamin in narcolepsy. BMJ 290:1167–1170CrossRef Shindler J, Schachter M, Brincat S, Parkes JD (1985) Amphetamine, mazindol, and fencamfamin in narcolepsy. BMJ 290:1167–1170CrossRef
53.
Zurück zum Zitat Alvarez B, Dahlitz M, Grimshaw J, Parkes JD (1991) Mazindol in long-term treatment of narcolepsy. Lancet Lond Engl 337:1293–1294CrossRef Alvarez B, Dahlitz M, Grimshaw J, Parkes JD (1991) Mazindol in long-term treatment of narcolepsy. Lancet Lond Engl 337:1293–1294CrossRef
54.
58.
Zurück zum Zitat Scrima L, Hartman PG, Johnson FH Jr, Hiller FC (1989) Efficacy of gammahydroxybutyrate versus placebo in treating narcolepsy-cataplexy: double-blind subjective measures. Biol Psychiatry 26:331–343CrossRef Scrima L, Hartman PG, Johnson FH Jr, Hiller FC (1989) Efficacy of gammahydroxybutyrate versus placebo in treating narcolepsy-cataplexy: double-blind subjective measures. Biol Psychiatry 26:331–343CrossRef
62.
Zurück zum Zitat Mayer G, Plazzi G, Iranzo Á, Ortega-Albás J, Quinnell T, Pesch H, Serralheiro P, Schlit AF, Wuiame D, Bentz JWG (2018) Long-term compliance, safety, and tolerability of sodium oxybate treatment in patients with narcolepsy type 1: a postauthorization, noninterventional surveillance study. Sleep 41(9). https://doi.org/10.1093/sleep/zsy128 Mayer G, Plazzi G, Iranzo Á, Ortega-Albás J, Quinnell T, Pesch H, Serralheiro P, Schlit AF, Wuiame D, Bentz JWG (2018) Long-term compliance, safety, and tolerability of sodium oxybate treatment in patients with narcolepsy type 1: a postauthorization, noninterventional surveillance study. Sleep 41(9). https://​doi.​org/​10.​1093/​sleep/​zsy128
68.
Zurück zum Zitat Frey J, Darbonne C (1994) Fluoxetine suppresses human cataplexy: a pilot study. Neurology 44:707–709CrossRef Frey J, Darbonne C (1994) Fluoxetine suppresses human cataplexy: a pilot study. Neurology 44:707–709CrossRef
71.
Zurück zum Zitat Schachter M, Parkes JD (1980) Fluvoxamine and clomipramine in the treatment of cataplexy. JNNP 43:171–174 Schachter M, Parkes JD (1980) Fluvoxamine and clomipramine in the treatment of cataplexy. JNNP 43:171–174
74.
Zurück zum Zitat Rugino T (2007) A review of modafinil film-coated tablets for attention deficit/hyperactivity disorder in children and adolescents. Neuropsychiatr Dis Treat 3:293–301 Rugino T (2007) A review of modafinil film-coated tablets for attention deficit/hyperactivity disorder in children and adolescents. Neuropsychiatr Dis Treat 3:293–301
76.
80.
Zurück zum Zitat FDA approves new treatment of cataplexy and excessive daytime sleepiness in pediatric patients with narcolepsy- drug information update [news release] (2018) Silver Spring, MD: FDA Division of Drug Information FDA approves new treatment of cataplexy and excessive daytime sleepiness in pediatric patients with narcolepsy- drug information update [news release] (2018) Silver Spring, MD: FDA Division of Drug Information
81.
Zurück zum Zitat Nishino S, Kotorii N (2016) Modes of action of drugs related to narcolepsy:pharmacology of wake-promoting compounds and anticataplectics. In: Goswami M, Thorpy MJ, Pandi-Perumal SR (eds) Narcolepsy. A clinical guide. Springer International Publishing, Switzerland, pp 307–329CrossRef Nishino S, Kotorii N (2016) Modes of action of drugs related to narcolepsy:pharmacology of wake-promoting compounds and anticataplectics. In: Goswami M, Thorpy MJ, Pandi-Perumal SR (eds) Narcolepsy. A clinical guide. Springer International Publishing, Switzerland, pp 307–329CrossRef
82.
Zurück zum Zitat Dopheide JA, Pilszka SR (2009) Attention-deficit disorder: an update. Pharmacotherapy 29:656–679CrossRef Dopheide JA, Pilszka SR (2009) Attention-deficit disorder: an update. Pharmacotherapy 29:656–679CrossRef
83.
Zurück zum Zitat Product information (2007) Dextroamphetamine sulfate oral tablets, dextroamphetamine sulfate oral tablets. St. Louis: Mallinckrodt; 2007 Product information (2007) Dextroamphetamine sulfate oral tablets, dextroamphetamine sulfate oral tablets. St. Louis: Mallinckrodt; 2007
84.
Zurück zum Zitat Product information (2007) RITALIN: oral tablets, methylphenidate hydrochloride oral tablets. East Hanover, NJ: Novartis; 2007 Product information (2007) RITALIN: oral tablets, methylphenidate hydrochloride oral tablets. East Hanover, NJ: Novartis; 2007
92.
Zurück zum Zitat Lecendreux M, Berthier J, Corny J, Bourdon O, Dossier C, Delclaux C (2017) Intravenous immunoglobulin therapy in pediatric narcolepsy: a nonrandomized, open-label, controlled, longitudinal observational study. J Clin Sleep Med 15:441–453. https://doi.org/10.5664/jcsm.6500 CrossRef Lecendreux M, Berthier J, Corny J, Bourdon O, Dossier C, Delclaux C (2017) Intravenous immunoglobulin therapy in pediatric narcolepsy: a nonrandomized, open-label, controlled, longitudinal observational study. J Clin Sleep Med 15:441–453. https://​doi.​org/​10.​5664/​jcsm.​6500 CrossRef
93.
Zurück zum Zitat Ruppert E, Zagala H, Chambe J, Comtet H, Kilic-Huck U, Lefebvre F, Bataillard M, Schroder C, Calvel L, Bourgin P (2018) Intravenous immunoglobulin therapy administered early after narcolepsy type 1 onset in three patients evaluated by clinical and polysomnographic follow-up. BehavNeurol15;2018:1671072. https://doi.org/10.1155/2018/1671072 Ruppert E, Zagala H, Chambe J, Comtet H, Kilic-Huck U, Lefebvre F, Bataillard M, Schroder C, Calvel L, Bourgin P (2018) Intravenous immunoglobulin therapy administered early after narcolepsy type 1 onset in three patients evaluated by clinical and polysomnographic follow-up. BehavNeurol15;2018:1671072. https://​doi.​org/​10.​1155/​2018/​1671072
95.
Zurück zum Zitat Donjacour C, Mets MAJ, Verster JC (2010) Narcolepsy, driving and traffic safety. In: Goswami M, Pandi-Perumal SR, Thorpy MJ (eds) Narcolepsy: a clinical guide. Springer Humana Press, New York, pp 217–222CrossRef Donjacour C, Mets MAJ, Verster JC (2010) Narcolepsy, driving and traffic safety. In: Goswami M, Pandi-Perumal SR, Thorpy MJ (eds) Narcolepsy: a clinical guide. Springer Humana Press, New York, pp 217–222CrossRef
96.
Zurück zum Zitat Lindsley G (2010) Narcolepsy, intimacy and sexuality. In: Goswami M, Pandi-Perumal SR, Thorpy MJ (eds) Narcolepsy: a clinical guide. Springer Humana Press, New York, pp 205–216CrossRef Lindsley G (2010) Narcolepsy, intimacy and sexuality. In: Goswami M, Pandi-Perumal SR, Thorpy MJ (eds) Narcolepsy: a clinical guide. Springer Humana Press, New York, pp 205–216CrossRef
98.
Zurück zum Zitat Bellebaum C, Daum I (2010) Memory and cognition in narcolepsy. In: Goswami M, Pandi-Perumal SR, Thorpy MJ (eds) Narcolepsy: a clinical guide. Springer Humana Press, New York, pp 223–230CrossRef Bellebaum C, Daum I (2010) Memory and cognition in narcolepsy. In: Goswami M, Pandi-Perumal SR, Thorpy MJ (eds) Narcolepsy: a clinical guide. Springer Humana Press, New York, pp 223–230CrossRef
100.
Zurück zum Zitat Ingravallo F, Plazzi G (2010) Medico-legal aspects of disability in narcolepsy. In: Goswami M, Pandi-Perumal SR, Thorpy MJ (eds) Narcolepsy: a clinical guide. Springer Humana Press, New York, pp 231–238CrossRef Ingravallo F, Plazzi G (2010) Medico-legal aspects of disability in narcolepsy. In: Goswami M, Pandi-Perumal SR, Thorpy MJ (eds) Narcolepsy: a clinical guide. Springer Humana Press, New York, pp 231–238CrossRef
101.
Zurück zum Zitat Shneerson J (2010) Narcolepsy and mental health. In: Goswami M, Pandi-Perumal SR, Thorpy MJ (eds) Narcolepsy: a clinical guide. Springer Humana Press, New York, pp 239–250CrossRef Shneerson J (2010) Narcolepsy and mental health. In: Goswami M, Pandi-Perumal SR, Thorpy MJ (eds) Narcolepsy: a clinical guide. Springer Humana Press, New York, pp 239–250CrossRef
102.
Zurück zum Zitat Britton T, Hansen A, Hicks J, Howard R, Meredith A (2002) Guidelines on the diagnosis and management of narcolepsy in adults and children. Evidence-based guidelines for the UK with graded recommendations. Taylor Patten Communications Ltd, Ashtead Britton T, Hansen A, Hicks J, Howard R, Meredith A (2002) Guidelines on the diagnosis and management of narcolepsy in adults and children. Evidence-based guidelines for the UK with graded recommendations. Taylor Patten Communications Ltd, Ashtead
104.
Zurück zum Zitat Overeem S, Reading P, Bassetti CL (2012) Narcolepsy. Sleep Med Clin 7:263–281CrossRef Overeem S, Reading P, Bassetti CL (2012) Narcolepsy. Sleep Med Clin 7:263–281CrossRef
107.
Zurück zum Zitat Yuchiyama MG, Mayer G, Meier-Ewert K (1994) Differential effects of extended sleep in narcoleptics patients. Electroencephalogr Clin Neurophysiol 91:212–218CrossRef Yuchiyama MG, Mayer G, Meier-Ewert K (1994) Differential effects of extended sleep in narcoleptics patients. Electroencephalogr Clin Neurophysiol 91:212–218CrossRef
109.
Zurück zum Zitat Rogers AE (1984) Problems and coping strategies identified by narcoleptic patients. J Neurosurg Nurs 16:326–334CrossRef Rogers AE (1984) Problems and coping strategies identified by narcoleptic patients. J Neurosurg Nurs 16:326–334CrossRef
110.
Zurück zum Zitat Bruck D, Broughton R (2001) Achieving control over sleepiness in narcolepsy. Aust J Prim Health 7:16–24CrossRef Bruck D, Broughton R (2001) Achieving control over sleepiness in narcolepsy. Aust J Prim Health 7:16–24CrossRef
112.
Zurück zum Zitat Conroy DA, Novick DM, Swanson LM (2012) Behavioral management of hypersomnia. Sleep Med Clin 7:325–331CrossRef Conroy DA, Novick DM, Swanson LM (2012) Behavioral management of hypersomnia. Sleep Med Clin 7:325–331CrossRef
113.
Zurück zum Zitat Marín-Agudelo H, Jiménez Correa U (2012) Scheduled naps and systematic desensitization in the emotional processing in patients with narcolepsy: a comparative study of autonomic and cognitive evoked potentials. Sleep 35:A275 Marín-Agudelo H, Jiménez Correa U (2012) Scheduled naps and systematic desensitization in the emotional processing in patients with narcolepsy: a comparative study of autonomic and cognitive evoked potentials. Sleep 35:A275
114.
Zurück zum Zitat Marín-Agudelo H, Jiménez Correa U (2013) Beliefs and dysfunctional attitudes in patients with narcolepsy; double-blind study of treatment efficacy. Sleep 36(Suppl: A256) Marín-Agudelo H, Jiménez Correa U (2013) Beliefs and dysfunctional attitudes in patients with narcolepsy; double-blind study of treatment efficacy. Sleep 36(Suppl: A256)
120.
Zurück zum Zitat Shilling V, Morris C, Thompson-Coon J, Ukoumunne O, Rogers M, Logan S (2013) Peer support for parents of children with chronic disabling conditions: a systematic review of quantitative and qualitative studies. Dev Med Child Neurol 55:602–609. https://doi.org/10.1111/dmcn.12091 CrossRef Shilling V, Morris C, Thompson-Coon J, Ukoumunne O, Rogers M, Logan S (2013) Peer support for parents of children with chronic disabling conditions: a systematic review of quantitative and qualitative studies. Dev Med Child Neurol 55:602–609. https://​doi.​org/​10.​1111/​dmcn.​12091 CrossRef
Metadaten
Titel
Narcolepsy treatment: pharmacological and behavioral strategies in adults and children
verfasst von
Christian Franceschini
Fabio Pizza
Elena Antelmi
Maria Claudia Folli
Giuseppe Plazzi
Publikationsdatum
10.07.2019
Verlag
Springer International Publishing
Erschienen in
Sleep and Breathing / Ausgabe 2/2020
Print ISSN: 1520-9512
Elektronische ISSN: 1522-1709
DOI
https://doi.org/10.1007/s11325-019-01894-4

Weitere Artikel der Ausgabe 2/2020

Sleep and Breathing 2/2020 Zur Ausgabe

Sleep Breathing Physiology and Disorders • Original Article

The association of OSAS and uvula: the role of MRI in this egg-chicken problem in OSAS

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Echinokokkose medikamentös behandeln oder operieren?

06.05.2024 DCK 2024 Kongressbericht

Die Therapie von Echinokokkosen sollte immer in spezialisierten Zentren erfolgen. Eine symptomlose Echinokokkose kann – egal ob von Hunde- oder Fuchsbandwurm ausgelöst – konservativ erfolgen. Wenn eine Op. nötig ist, kann es sinnvoll sein, vorher Zysten zu leeren und zu desinfizieren. 

Umsetzung der POMGAT-Leitlinie läuft

03.05.2024 DCK 2024 Kongressbericht

Seit November 2023 gibt es evidenzbasierte Empfehlungen zum perioperativen Management bei gastrointestinalen Tumoren (POMGAT) auf S3-Niveau. Vieles wird schon entsprechend der Empfehlungen durchgeführt. Wo es im Alltag noch hapert, zeigt eine Umfrage in einem Klinikverbund.

Proximale Humerusfraktur: Auch 100-Jährige operieren?

01.05.2024 DCK 2024 Kongressbericht

Mit dem demographischen Wandel versorgt auch die Chirurgie immer mehr betagte Menschen. Von Entwicklungen wie Fast-Track können auch ältere Menschen profitieren und bei proximaler Humerusfraktur können selbst manche 100-Jährige noch sicher operiert werden.

Die „Zehn Gebote“ des Endokarditis-Managements

30.04.2024 Endokarditis Leitlinie kompakt

Worauf kommt es beim Management von Personen mit infektiöser Endokarditis an? Eine Kardiologin und ein Kardiologe fassen die zehn wichtigsten Punkte der neuen ESC-Leitlinie zusammen.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.