Diagnosing and Treating Excessive Daytime Sleepiness in Narcolepsy or Obstructive Sleep Apnea

A continuing medical education activity provided by NAMCP and AAMCN

This activity is an archive from the live session from the 2021 Fall Managed Care Forum.
If you participated in the live session, you are not eligible for continuing
education credits from this archive.

This activity is valid from January 1, 2022, to March 1, 2023.

Instructions for CME/NCPD: Complete the pre-test, listen to the audio and view the slides, complete the post test, complete the evaluation form and hit submit. You will be asked to enter your name and email address on the pre-test, evaluation and post-test. If you close your internet browser without completing the post test, you will have ONE more opportunity to complete. A score of 70% must be achieved on the post test to receive continuing education credits. If you do not pass the post test after two attempts, you will not be eligible to try again. Once you complete the evaluation form and score 70% or higher on your post test, you will automatically be given your certificate.

To print or save your certificate, you will need to click on the “download” button and either print or save.


Audience: This activity is intended for healthcare professionals practicing in managed care environments.

This activity is supported by an educational grant from
Jazz Pharmaceuticals

Narcolepsy and OSA can interfere with psychological, social, and cognitive function and development and can inhibit academic, work, and social activities. With the potential danger surrounding narcoleptic patients, it is important for clinicians to understand and identify major sleep disorders and the best methods to diagnose and treat them. Greater awareness of sleep disorders and its symptoms can help accurately and efficiently diagnosis the disease. As research continues to grow, better treatments for narcolepsy are becoming available. Sleep studies are an essential part of the evaluation and diagnosis of patients with narcolepsy. While in most instances imaging studies do not give an accurate picture of what is going on, a few studies done with an MRI can show structural abnormalities of the brain that will help show what may be the underlying cause of the sleep disorder. Symptoms can include EDS, sleep paralysis, hallucinations, but cataplexy is the most specific symptom and occurs in almost no other diseases. The combination of an overnight polysomnogram (PSG) followed by a multiple sleep latency test (MSLT) can provide the proper evidence of narcolepsy while excluding other sleep disorders. This activity will focus on an understanding of novel therapies for EDS in OSA and narcolepsy and how to incorporate this evidence into optimal treatment planning to reduce the burden of EDS. With recent evidence and data are showing a lot of promise, there needs to be more education on the best treatment strategies available. By navigating recent clinical trial data on these therapies, the attendees should be better able to apply the latest evidence to practice, optimizing the management of EDS in patients with narcolepsy and OSA. Given the limitations in safety and efficacy of more traditional therapies for EDS, there is a need for novel therapies and the best methods to manage them.

Upon completion of this activity, participants will be able to:

  • Discuss the mechanisms, prevalence, and impact of excessive daytime sleepiness (EDS) in patients

  • Assess evidence-driven strategies for diagnosing and treating excessive daytime sleepiness in narcolepsy and obstructive sleep apnea (OSA)

  • Analyze the latest clinical evidence on current and novel therapies for EDS in OSA and narcolepsy into optimal treatment planning to reduce the illness burden

  • Discuss the role of a multidisciplinary team to help incorporate the latest clinical evidence on novel therapies for EDS

  • Enhance the quality-of-life implications of EDS to educate patients about the significance of detection and treatment


Faculty: Suresh Kotagal, MD
Professor Emeritus, Department of Neurology
Consultant in Neurology, Pediatrics, and Sleep Medicine
Mayo Clinic


Dr. Kotagal has served on the Data Safety Monitoring Board for Suven. His presentation has been peer reviewed for any bias.
Planning Committee: Bill Williams, MD has no financial relationships with ineligible companies to disclose.
Jeremy Williams has no financial relationships with ineligible companies to disclose.
Jacqueline Cole, RN, MS, CMCN has no financial relationships with ineligible companies to disclose.

NAMCP and/or the presenter has copyright or has received permissions for use of materials provided in this activity.

Accreditation & Designation
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the National Association of Managed Care Physicians (NAMCP) and American Association of Managed Care Nurses (AAMCN). The National Association of Managed Care Physicians is accredited by the ACCME to provide continuing medical education for physicians.

NAMCP designates this enduring material for a maximum of 1 AMA PRA Category 1 credit(s)TM. Each
physician should claim credit commensurate with the extent of their participation in the activity.

The American Association of Managed Care Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

Nurses who complete this activity and achieve a passing score will receive 1 hour in nursing continuing professional development.

This activity has been approved by the American Board of Managed Care Nursing for 1.0 contact hours toward CMCN recertification requirements.

This activity is supported by an educational grant from
Jazz Pharmaceuticals

NAMCP and/or this website does not provide medical advice, diagnosis or treatment. NAMCP does not endorse or imply endorsement of the content on any linked website. This website is to be used as an informational resource. With any health related concern, consult with your physician or healthcare professional.

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