What lifestyle modifications and non-pharmacological interventions can I recommend to a patient diagnosed with narcolepsy?

Lifestyle modifications and non-pharmacological interventions for a patient diagnosed with narcolepsy include:

• Improving sleep hygiene: Establishing a regular sleep schedule, creating a comfortable sleep environment, and avoiding stimulants before bedtime can help manage symptoms.
• Scheduled daytime naps: Short, planned naps during the day can reduce excessive daytime sleepiness and improve alertness.
• Weight management: Maintaining a healthy weight through diet and exercise is beneficial, as obesity can worsen sleep disorders.
• Reducing alcohol intake and smoking cessation: Both alcohol and smoking can negatively affect sleep quality and exacerbate symptoms.
• Education and support: Providing information about the condition and support for lifestyle changes is important for patient adherence and coping.

These recommendations are aligned with general NICE guidance on managing sleep disorders and lifestyle advice, which emphasises weight loss, smoking cessation, reducing alcohol intake, and improving sleep hygiene tailored to the individual's needs ¹. Although the provided context does not specifically address narcolepsy, these lifestyle and behavioural strategies are commonly recommended as adjuncts to pharmacological treatment in narcolepsy management.