Thank you for sending Renee back to see me just over two years since the last appointment. When last reviewed, Renee trialled modafinil, reaching a dose of 200mg bd, but struggled with it due to nausea and what she believed to be increased somnolence. She did not attend for a follow-up appointment and has battles through with the symptoms over the last couple of years. Her sleep patterns are similar to before in that she is achieving typically eight hours of sleep and is consistently waking unrefreshed with daytime somnolence. On weekends, she will sleep for several hours during the day without any appreciable improvement in symptoms. She is not aware of any significant snoring, although does live alone and reports no nocturnal choking/gasping
