Excessive daytime sleepiness often remains stable or may improve slightly, while cataplexy can lessen in older adults. Poor sleep quality and fragmented nighttime sleep may persist. Many people manage symptoms long-term with lifestyle adjustments and medications like modafinil, which helps maintain wakefulness. Aging itself can affect sleep patterns, sometimes making narcolepsy feel different rather than worse. Regular follow-ups with a sleep specialist are important to adjust treatment as your body and sleep needs change.
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