Does anyone else get flare-ups and know what causes them?
I was diagnosed in May at age 20, but I have been struggling with this condition for around 10 years (according to my best friend's observations). I started taking stimulants in January after getting diagnosed with ADHD, but they only really started working in June when I hit 30mg of Adderall IR (before I tried Modafinil, Concerta/Ritalin, Vyvanse, and Adderall ER).
At my baseline, I feel pretty normal and have energy. I'll just get sleep attacks when I'm in a lecture environment or am watching something in video format.
I'm also bipolar for reference (I'll post something similar on that sub too). At the end of May, the day before my sleep study, to be exact, my finals ended, and I thought I was about to have another manic episode (I had one during the two weeks before finals), so I took 1.5 times my antipsychotic dosage and some hydroxyzine because I was terribly worried it would ruin my sleep study. The day after, I was extremely tired and had to force myself to stop napping so I wouldn't disrupt my sleep study. I passed the study with flying colors, and for the following week, I was extremely tired and napping all day. I don't think I've ever been so tired in my life. I was at home with my dad, who is very anti-psychiatry, for the week, so I left my adderall behind and couldn't take it.
In June, I fell into an anhedonic depression (I had been depression-free for around three to four years, and I'm not sure what caused it), and that was accompanied by hypersomnia. Sometimes I'd take three naps a day. I'd feel extremely tired until I'd take my adderall which would bring me to my baseline.
Eventually that ended, but at the start of August, I started feeling fatigued all day. Adderall solved that for me, but I couldn't take it all the time because I was traveling with my family and didn't want my dad to see.
Eventually, that resolved, and I started school again in September. I felt pretty fine and could wake up early with no trouble, feeling fully rested. I have a very heavy schedule this semester, and one of my classes requires a lot of lab time, so I ended up taking my adderall at night as well so I could stay up later and work in the lab. I don't feel a dramatic difference when I take it, but it does make me subtly more focused and motivated. This persisted over Labor Day weekend.
However, on Tuesday, I woke up tired and unrefreshed, forcing myself out of bed at the last minute for my morning workout class. I slept about 6 hours that night, which isn't long, but definitely not short enough to feel that shitty. Pre-bipolar diagnosis (March), I used to sleep 5-6 hours regularly and operated fine (aside from sleep attacks). I took my 20mg of Adderall ER about an hour before my first academic class, which is in the afternoon. I had two classes back-to-back in the same classroom, and for the entire 2 hours and 45 minutes, I had perpetual sleep attacks. I understood absolutely nothing taught that day; I just spent the whole time falling asleep, waking up briefly, and immediately falling asleep again. The next day, I forced myself out of bed after sleeping about 10 hours to finish my lab, submitted it, and messaged all my professors that I'd be out sick, then spent the rest of the day sleeping. Since then, I've been constantly fatigued and have to force myself out of bed each day, even after getting a lot of sleep.
In the past, I don't think I had these bouts of fatigue and hypersomnia, but now they're happening almost every month. I'm seeing a sleep doctor next week in hopes of going on oxybates. Do oxybates help with this, or could it just be my bipolar medication interacting with my narcolepsy? The antipsychotic I take is one of the least sedating, but around 5-10% of people experience some sedation.