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Not Getting Enough Time in Bed

Not Getting Enough Time in Bed Paul Smith (not his real name) is a 63-year-old accountant. He works hard, he plays hard. He is happily married, with lovely children and grandchildren. He has been a patient off and on for many years. I have seen him over the years for sleepiness, for snoring, and for…

New medicine for daytime sleepiness

A new medicine for daytime sleepiness was approved this year. It should arrive in pharmacies in the next few months. Its name is SunosiR (or solriamfetol). It blocks reuptake of dopamine (DA) and norepinephrine (NE) into nerve cells that release these. As a result, DA and NE levels increase in the area between nerve cells…

CPAP Adherence and How to Improve It

Continuous Positive Airway Pressure (CPAP) is the best treatment for obstructive sleep apnea (OSA). Unfortunately, only 59% of patients prescribed CPAP in the USA actually use it. Yet, being adherent to CPAP use is crucial in controlling OSA and its complications. The complications include sleepiness and fatigue, memory and concentration problems, high blood pressure, atrial…

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