Problem:
BL is a 24-year-old college student with narcolepsy (no cataplexy) who is taking methylphenidate 20 mg SR/day (he takes this at 8 AM before his first class). Currently, this works well at reducing sleepiness in the morning, but next semester, BL will have morning and late afternoon classes. He is worried he will not be able to stay awake for afternoon classes. Which of the following might be the best strategy for the upcoming semester? Need Assignment Help?
Group of answer choices
Dextroamphetamine 10 mg/day (8 AM)
Methylphenidate 10 mg twice daily (8 AM and 6 PM)
Methylphenidate 20 mg SR twice daily and 10 mg prn afternoon sleepiness
Sodium oxybate 2.25 g at bedtime and 3 hours later