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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Sleep Apnea

Hi, I suffer from severe sleep apnea and have trouble with motivation, focus, accomplishing things, etc because of my fatigue. It is untreated at this point since i cannot use the bipap until i have a GI issue diagnosed. I have used Provigil and Vyvanse in the past and had miraculous results with the latter medication. I would like to get another Rx for the 50mg Vyvanse capsules at least until my sleep disorder is treated.Thank you
Fri, 17 Apr 2020
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General & Family Physician 's  Response
Hi,

It is not possible to prescribe drug substitute for 50mg of Vyvanse, or the drug itself without proper examination and case history. However, you can try cognitive behavioral therapy for the mentioned symptoms, as the medications prescribed have potentially dangerous side-effects.

In addition, the symptoms like low motivation, inattention and fatigue can happen in sleep deprived individuals. It is not uncommon in patients with sleep apnoea to experience these symptoms due to lack of quality sleep and day time somnolence.

The best treatment for sleep apnoea are to use CPAP/BiPAP and weight loss(if overweight).

However, if you suffer from aerophagia or other problem that makes it difficult to use ventilation; other possible treatments of sleep apnoea includes mandibular advancement surgery, tonsillectomy,nasal EPAP and diaphragm pacing to list a few.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Ayesha Shareef
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Suggest Remedy For Sleep Apnea

Hi, It is not possible to prescribe drug substitute for 50mg of Vyvanse, or the drug itself without proper examination and case history. However, you can try cognitive behavioral therapy for the mentioned symptoms, as the medications prescribed have potentially dangerous side-effects. In addition, the symptoms like low motivation, inattention and fatigue can happen in sleep deprived individuals. It is not uncommon in patients with sleep apnoea to experience these symptoms due to lack of quality sleep and day time somnolence. The best treatment for sleep apnoea are to use CPAP/BiPAP and weight loss(if overweight). However, if you suffer from aerophagia or other problem that makes it difficult to use ventilation; other possible treatments of sleep apnoea includes mandibular advancement surgery, tonsillectomy,nasal EPAP and diaphragm pacing to list a few. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Ayesha Shareef