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A MyNarcolepsyTeam Member asked a question 💭

I already take Xywav at night but it only keeps me asleep for 2-3 hours and I am wide awake in between my doses.

December 30, 2025
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MyNarcolepsyTeam

How can you manage insomnia between Xywav doses?

It sounds frustrating to be wide awake between doses when you're trying to get restful sleep. Since you're already on medication, there are several lifestyle strategies that might help improve your sleep quality.

Sleep hygiene practices can make a real difference
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How can you manage insomnia between Xywav doses?

It sounds frustrating to be wide awake between doses when you're trying to get restful sleep. Since you're already on medication, there are several lifestyle strategies that might help improve your sleep quality.

Sleep hygiene practices can make a real difference:
* Go to bed and wake up at the same time every day, even on weekends
* Keep your bedroom cool, dark, and comfortable
* Remove all screens (phone, TV, tablet) from your bedroom
* Avoid caffeine and alcohol, especially in the second half of your day

Relaxation routines before bed can help prepare your body for sleep:
* Take a warm bath or shower
* Try gentle yoga or meditation
* Read a physical book (not on a screen)
* Practice journaling to put worries down on paper

Consider keeping a medication log for a week, noting when you take Xywav, how long you sleep, and your wake periods. This information can help your doctor determine if adjusting your dosage timing, amount, or frequency might help you stay asleep longer between doses.

Cognitive behavioral therapy for insomnia (CBT-I) has also been shown to improve sleep quality in people with narcolepsy and might be worth discussing with your healthcare provider.

December 30, 2025

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