Hi, this is my first post on this site. I agree with everything everyone has had to say. I went through all my college education, undergrad and grad, without knowing I had narcolepsy and like Ranger I would have times when I was brilliant and others when I was subpar... I could space off an entire day and not know why or how. I was 43 years old when I found out I had narcolepsy. We are all unfortunate to have narcolepsy however you are VERY fortunate to have found out this early in life. Even though the diagnosis may be difficult to wrap your head around initially but you can have a nearly normal life. I've tried a variety of medications and like the post above from Jensacutie, Adderall and Xyrem have been the best combination. I remember the day when I work up and could get out of bed when the alarm went off AND have a productive day. It was AMAZING. Xyrem gave me my life back. There is an organization that will help with the cost of the drug, I believe the name is Caring Voice Coalition, very nice people - truly wonderful.
My advice and some things that work for me are:
1) get on the med or combination of meds that work best for you. Do you get migraines also? If so, you will want to add a med for that. I am on Imipramine; shortly after I started taking it I stopped having migraines altogether. I'm sure recovering from my decades of sleep deprivation helped immensely also!
2) Make a point to jot down the times of day that you feel most alert, focused, aware... and conversely sleepy, tired, distracted and schedule your classes/activities around those times
3) Explain y(our) condition to instructors/profs, roommates and close friends. Your neurologist should have literature you can share with them to help in their understanding. You/we are disabled, by law our school/(most)employers must make reasonable accommodations to assist you in performing y(our) student/employee activities/duties. Most will be very understanding and accommodating. An example may be getting into a closed class that is during your normal 'wakeful' time versus having to take another section during a less wakeful time or scheduling test taking during your most alert times.
4) Your social life and alcohol. No one has mentioned this specifically in the thread so I will broach the subject. Those of us living with Narcolepsy (we have narcolepsy but it doesn't have us!) are to avoid alcohol and caffeine. All through college I was known as an ultra 'light weight' when it came to drinking. My friends and I would joke that I had some sort of alcohol allergy. One might think that having a drink in the evening may cause you to sleep better but the converse is true. It may not sound like fun but taking up the position of designated driver keeps you in the social loop, helps your friends and is markedly less expensive. Your friends and wallet will love you for it.
5) Exercise - another thing that hasn't been mentioned is physical activity. I won't go through a list of commonly known benefits I will however discuss how it is beneficial in living with "n". We should exercise twice a day, in the morning to help wake us up and late afternoon/early evening to help tire us out physically and the added benefit of stress management. It doesn't have to be a lot. I do 50 jumping jacks in the morning, a 7 minute ab routine and some yoga stretches (~20 minutes) and in the early evening a brisk 30 minute walk or bike ride after a light dinner, no heavy meals for us either.. makes us sleepy and if too late at night means we are digesting well into the night which keeps us from the deep restorative sleep we need. Another note about mornings, I keep a list of the things I have to do to get ready and a list of things not to forget to take with me. It helps with my focus in the morning and keeps the time from just 'disappearing'. I use a kitchen timer, obnoxiously loud! I can zone off in the shower and have until the water has ran cold. I also have a clock in every room.
6) To amp up the social aspects of your life, have your activities pull double duty. Find a work out partner especially for y(our) mornings. This will help you get out of bed and you will have someone to commiserate with ;) If appropriate, have study partners or groups. If done correctly, this can be a win/win for your studies and friendships. Never eat alone - this is one from the business world but also works for us. Everyone has to eat - make it social and/or network building whether it be with roommates, classmates, family or friends.
7) One last bit of advice, routine is your friend. Your basic schedule should be consistent, getting up, taking meds, eating, naps, exercise and going to bed at the same times everyday.
Someday, perhaps years from now, you might meet someone newly diagnosed with our condition or perhaps read and respond to a post like this one. I want you to be able to tell them that even though you/we live with this condition, you/we have a choice to live our best life.