Augmentation in Restless Legs Syndrome
SleepHub | Sleep Talk Podcast
by Dr David Cunnington
6M ago
Augmentation in restless leg syndrome can be difficult to manage and actually occurs relatively commonly. In fact, some studies suggest that most people taking dopamine agonists for restless legs will develop augmentation over time. In 2016, guidelines were published to help guide treatment of augmentation when it develops. What is augmentation? Augmentation is when people who are on long term treatment with dopaminergic agonists for restless legs develop a worsening in their restless leg symptoms over time. It was first described in 1996 and at that point was felt that about 75 percent of peo ..read more
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Sleep Talk: Episode 65 – Long COVID
SleepHub | Sleep Talk Podcast
by Dr David Cunnington
10M ago
Episode 65: Long COVID  For many people, COVID-19 isn’t just about the acute illness. Once the acute symptoms have settled they are left with ongoing fatigue and a range of other symptoms. To understand long COVID and what can be done to help manage symptoms, we speak with Nathan Butler (exercise physiologist) of Active Health Clinic. Dr Moira Junge (Health Psychologist) and Dr David Cunnington (Sleep Physician) host the monthly podcast, Sleep Talk – Talking all things sleep. Leave a review and subscribe via Apple Podcasts Audio Timeline / Chapters: 00:0 ..read more
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What is idiopathic hypersomnia
SleepHub | Sleep Talk Podcast
by Dr David Cunnington
1y ago
Idiopathic hypersomnia (IH) is a chronic neurological disorder that results in excessive daytime sleepiness (EDS), frequently accompanied by an excessive need for sleep (ENS) despite long periods of sleep overnight and during the day.  Common symptoms of idiopathic hypersomnia The most common symptom of IH is excessive daytime sleepiness despite an adequate, or even very long period of sleep per night. Other symptoms include un-refreshing or non-restorative sleep. Severe sleep inertia or sleep drunkenness, which is extreme difficulty awakening from sleep, accompanied by feelings of groggi ..read more
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Xyrem in Australia
SleepHub | Sleep Talk Podcast
by Dr David Cunnington
1y ago
Xyrem (sodium oxybate) is available in Australia, but it is not registered. Xyrem (sodium oxybate) is available for use in Australia under specific circumstances. Xyrem isn’t a registered product in Australia, but is able to be prescribed as it is no longer illegal to import or possess. In October 2014, Xyrem was changed to a Schedule 8 poison (controlled drug), from a Schedule 9 poison (prohibited substance). Following that change, UCB Pharma, began importing Xyrem to Australia and it can be accessed as a treatment for narcolepsy under very specific circumstances, after completing a number o ..read more
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Why am I sleepy?
SleepHub | Sleep Talk Podcast
by Dr David Cunnington
1y ago
It’s common to feel sleepy or tired. In fact, around 1 in 2 adults report feeling more tired than they would expect. But how sleepy is too sleepy, and if you are feeling sleepy, what is causing it, and what can be done about it?  Sleepiness vs tiredness Although the terms ‘sleepiness’ and ‘tiredness’ are often used interchangeably, they mean different things and have other causes. Here are some key points to remember when differentiating them: Sleepiness is an overwhelming need to sleep. Heavy eyelids, eyes that can’t stay open, finding yourself falling asleep even if you’re trying to co ..read more
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Wake-promoting medication
SleepHub | Sleep Talk Podcast
by Dr David Cunnington
1y ago
Wake-promoting medication for narcolepsy and hypersomnia. What are the options? In managing narcolepsy and hypersomnia, it’s important to use non-drug strategies such as napping and managing commitments. However, despite this wake-promoting medication to help people stay awake and manage other symptoms such as cataplexy or sleep disturbance are often needed. The 4 most commonly used wake-promoting medications are modafinil (Modavigil or Provigil), armodafinil (Nuvigil), dexamphetamine and methyphenidate (Ritalin). Sodium oxybate (Xyrem) has become available in Australia under the Sp ..read more
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Chronic stress
SleepHub | Sleep Talk Podcast
by Dr David Cunnington
1y ago
Are you ​constantly feeling tired? Having trouble concentrating and remembering things? Not sleeping well? These may be symptoms of chronic stress. I’ll often have people coming to see me because they are not sleeping well and have been focusing on fixing their sleep. But they may not have been paying attention to managing their stress. Sleep is a mirror of your day, so if your day is full of busyness and stress without a break, you should expect your night to mirror that.  What is chronic stress? Situations like looming work deadlines, worrying about losing a job, relationship problems ..read more
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Not all sleepiness is narcolepsy
SleepHub | Sleep Talk Podcast
by Dr David Cunnington
1y ago
Consider other causes of sleepiness, it’s not all narcolepsy There are many causes of sleepiness, and narcolepsy is only one of them. In managing people with sleepiness it is important to think about what might be causing sleepiness, rather that misusing the term narcolepsy for everyone who is sleepy. Related posts & links: Living with narcolepsy – Podcast What is narcolepsy? Medications for sleepiness Need more information about how you can sleep better? At SleepHub we understand the struggle people endure with sleeping problems which is why we have created a comprehensive FAQ ..read more
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Sleep Talk: Episode 64 – Borderline Personality Disorder
SleepHub | Sleep Talk Podcast
by Dr David Cunnington
1y ago
Episode 64: Borderline Personality Disorder  Sleep problems are a common symptom for people with borderline personality disorder. Symptoms include insomnia, excessive sleepiness and fatigue, vivid and distressing dreams. To better understand borderline personality disorder, how it impacts sleep and treatment approaches, we spoke with Ass Prof Blaise Aguirre, child and adolescent psychiatrist from McLean Hospital and Harvard Medical School, Boston. Dr Moira Junge (Health Psychologist) and Dr David Cunnington (Sleep Physician) host the monthly podcast, Sleep Talk ..read more
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Long-COVID
SleepHub | Sleep Talk Podcast
by Dr David Cunnington
1y ago
COVID can be deadly, with a fatality rate of around 1%, but for those who survive COVID it can cause ongoing problems. Persistent tiredness, fatigue, cardiac and respiratory symptoms such as coughing and breathlessness are the most common features of long-COVID. What is long-COVID? Post-acute COVID-19 or long-COVID describes the various symptoms that may arise in the weeks or months following the disease. The term “long-COVID” is used to define COVID-19 that lasts for more than 12 weeks, although some people consider symptoms that last more than eight weeks to be long-COVID. The World Health O ..read more
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