According to an article posted on medicalnewstoday.com: A person can have both narcolepsy and insomnia. While the two conditions represent opposite ends of the sleep disorder spectrum, a person with narcolepsy — who may experience extreme tiredness during the day — will also typically experience difficulties remaining asleep at night. People with narcolepsy may have other sleep disorders such as insomnia, sleep apnea, and vivid dreaming. I have narcolepsy, insomnia, sleep apnea and vivid dreaming.

Narcolepsy often has insomnia as a symptom. Our brains don't make/use the necessary chemicals to keep us awake during the day and asleep at night. I have NwC and I should have been asleep 2 hours ago.

I experienced this also. I had Narcolepsy for nearly ten years. Of course you will be awake all night if you crashed all day so they may give you Xyrem so you can have a productive night sleep. BUT NOOOO. I would literally go from being in bed for a day to not sleeping at all for 2 days. One day I went to the emergency room after only sleeping 35 minutes over 4 and a half days. That’s when I was prescribed a sleep medicine for the night time and Aderrall for the day. It took 8 sleep medication till I found one that worked.

Insomnia is a symptom/side effect of narcolepsy. There are multiple reasons for this including the fear to sleep (because of the hallucinations, sleep paralysis, fear of not waking up on time, etc), result of medication, and because part of having narcolepsy is that we have a really hard time regulating sleep! It’s not uncommon for treatment of narcolepsy to include medication to treat insomnia to try and help create a healthy sleep routine

I suffer the same I always say I’m a narcoleptic with insomnia and people look at me like I’m crazy! And right now I don’t have a psychiatrist or sleep doctor only my PCP who found out I had narcolepsy with cataplexy. I’m in Indiana and there seems to be one office JMW neurology at St Francis but my neurologist left there and I owe to much $ so I can’t go there and I refuse to go to IU and my psychiatrist no longer takes my insurance so I’m all messed up right now!! And my thyroid problem doesn’t help the situation AT ALL!!

I go through this same thing!! xywav helps sometimes but some nights I lay awake until like 4 AM :/