Often these are characteristic, kind of frightening images. One really common one is the sensation of something sitting on your chest. In fact the only thing you really need is daytime sleepiness, which is why this is a very difficult disease to diagnose now. If you have these other things, it s extremely likely that Right now our therapy for narcolepsy is still somewhat limited. It is complicated by the use potential of the major therapies and all have other problems.
Amphetamines have problems with over-stimulation, the duration of action often.
There are short acting drugs which feeds into the abuse of the drugs. Ritalin has problems with absorption and again with duration of action. The slow-release form of Ritalin is much more erratically absorbed than the conventional preparations. And pemoline, Cylert, is associated with hepatic toxicity which you have to monitor for and occasionally it makes you stop the drug. It s probably a less effective agent anyway.