Has Sleep Disorder That Prevents From Holding Job. Sleep Clock Changing. Prescribed Melatonin. Suggestions?
He has been to a sleep doctor and she prescribed melatonin - to help him stay awake but it did not work and only gave him headaches.
He is looking for a neurologist because that is what disability for social security require. He needs to be able to get some assistance from Social Security so he can have enough income to at least pay his doctor bills and medicine.
Do you have any suggestions
He is 35 and lives now with his dad, but he is trying to get work and get back on his own like he did when he had the job for 2 years. By the time he left his job he was totally exhausted and sick trying to stay on a schedule that would allow him to work normal hours.
Thank you
XXXXX
Modafinil could help your son
Detailed Answer:
Hi,
Thank you for posting your query.
I read the detailed description about your son's illness. It is unfortunate that his abnormal sleep rhythm is causing a lot of difficulties in getting him a permanent job, and also not allowing him to earn a steady income for running his family as well as pay his medical bills.
I assume that his MRI brain is done and it was normal, including the hypothalamus (the part of brain, which regulates sleep and wakefulness cycle). Also, the hormonal profile has been checked and they are normal.
In that case, your son could be labeled as a primary circadian rhythm abnormality.
In this situation, he could use modafinil tablets in the morning to keep awake. At night, he could use a combination of zolpidem and melatonin to fall asleep.
I am sure he would improve with that.
I hope it helps.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
Thank you again.
XXXXX
Thank you
Detailed Answer:
Thank you and best wishes,
Dr Sudhir Kumar MD DM (Neurology)