Narcolepsy

Also called Narcolepsy with cataplexy

Narcolepsy is a rare long-term condition where the brain cannot regulate sleeping and waking properly. People with it feel very sleepy during the day and can fall asleep suddenly. Many also have cataplexy, a sudden, brief loss of muscle control often triggered by strong emotions such as laughter. It usually starts in the teens or 20s.

Last updated Nov 9, 2026

What it is

It is often caused by a lack of a brain chemical called hypocretin (orexin).

There is no cure, but planned naps, good sleep habits and medicines can reduce symptoms. Driving rules may apply.

Common signs

  • Excessive daytime sleepiness
  • Falling asleep suddenly
  • Cataplexy: sudden weakness when laughing or surprised
  • Sleep paralysis
  • Vivid dreams when falling asleep or waking

How it is usually diagnosed

  • Sleep diary
  • Overnight sleep study
  • Multiple sleep latency test
  • Sometimes a lumbar puncture to measure hypocretin

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Sleep study reports
  • Sleepiness questionnaire scores
  • Sleep clinic letters
  • A list of medicines

Questions to ask your doctor

  • Which treatment would suit me?
  • Can I drive?
  • What adjustments can I ask for at work or school?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Falling asleep while driving: stop driving and seek advice

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources