A 40-year-old obese African-American male presents with a history of excessive daytime drowsiness. He readily falls asleep when reading or watching television. He admits to nearly crashing his car twice in the past month because he briefly fell asleep behind the wheel. Most frightening to the patient have been episodes characterized by sudden loss of muscle tone, lasting about 1 minute, associated with laughing. An overnight sleep study shows decreased sleep latency and no evidence of obstructive sleep apnea. Appropriate treatment includes which one of the following? A) Methylphenidate (Ritalin) B) Zolpidem (Ambien) at bedtime C) Carbidopa/levodopa (Sinemet) D) Weight reduction E) Avoidance of daytime napping
Posted on: Wed, 23 Apr 2014 17:58:17 +0000
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