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And it's good for the clinician to recognize which of those conditions most affect the patient, and which are the ones that the patient feels that they need to get under control.īecause the management of narcolepsy involves a lot of new medications, it's important that the patient understands the differences between the medications and the treatments that are available to them. Narcolepsy has a number of different symptoms associated with it-there can be the excessive daytime sleepiness, the cataplexy, or the disturbed nocturnal sleep. We're really entering into a stage of personalized medicine for patients with narcolepsy, and it's most important that clinicians really listen to their patients, understand the symptoms that they're having, the severity of those symptoms, and which are the most important ones. How can clinicians ensure their patients’ voices are heard when it comes to aligning treatment goals for narcolepsy? Personalizing treatment for narcolepsy requires shared decision-making between patients and clinicians to understand the most important symptoms that need to be treated and the right therapy, said Michael Thorpy, MD, director of the Sleep-Wake Disorders Center at Montefiore Medical Center and professor of neurology at Albert Einstein College of Medicine.