I have had narcolepsy (and sleep apnea) for a long time. I had had three bariatric surgeries over the past 14 years, and my drs have wondered if some of my meds are not being absorbed properly or at the right rate, yet no one has done any kind of 'test' to determine that. I have tried everything possible for my narcolepsy---the ritalin patches, elixir ritalin.......etc, provigil, other meds....and of course xyrem. I take dextroamphetamine daily, even though it does litte...if anything......I have tried capsules and tablets...crushed them in applesauce, etc....everything my neurologist (who is the 'main doctor' for sleep problems in my area) has suggested.....I literally can't keep going like this......I am the single mom of a six year old and I cannot get anything done because of my tiredness/fatigue......There has to be some other treatment or advice that I could consider......I can barely wake up to go to work, I am so tired at work that I have to keep the temp very cool to stay somewhat awake, and as soon as I get home, I am ready to go to sleep-----this is so not fair to my daughter.....(and for my sleep apnea, I had used cpap, but with no noticable results)....I just want to be alert enough to get 'stuff done'.......and I am in tears almost every day, especially on the weekends, because I don't have the alertness/energy to do ANYTHING.........Please tell me where I can go for additional help.....Thanks......