Hi, /u/AfroLatinaChiefin! The availability and cost of medications available for treating narcolepsy with cataplexy vary by country severity of symptoms. Narcolepsy is a condition that can be quite distressing and challenging to live with. However, the degree of improvement each person experiences from different medications is unique.

Nowadays, in the US, there are a few medications related to sodium oxybate (Xyrem) that are available and that remains the mainstay of treatment for people who may need more than other medications can provide. One medication - unrelated to Xyrem - that is sometimes used to treat milder forms of cataplexy is a medication called venlafaxine (Effexor); it is commonly used to treat depression and anxiety and can have an activating effect. Overall, the decision about treatment (medication and non-medication) is one that would best be made together with your sleep physician.