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Good morning. Staying awake should be the easy part. This week, a different approach to narcolepsy leads the way. Then: sleeping brains, a monthly migraine problem, and a lesson in self-defense from snakes. | ||||||||||||
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Fictional illustration Living with narcolepsy When staying awake is the hard partStaying awake through an ordinary day should not be an endurance test. For people with narcolepsy type 1, the brain has lost much of its supply of orexin, a chemical messenger that helps keep sleep and wakefulness in their proper places. Orzeyful, approved by the FDA on August 5, acts on the same brain receptor as orexin. In two 12-week trials involving 273 adults, people taking the drug stayed awake more easily, felt less sleepy during the day, and had fewer episodes of cataplexy—the sudden muscle weakness that emotions such as laughter can trigger.
It is not a cure or a substitute for sleep. Insomnia is among the common side effects. The approval announcement also made marketing dependent on DEA scheduling; approval alone does not establish current pharmacy availability. | ||||||||||||
Four more major stories Sleep, migraine and clues in our genes
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Quick discoveriesA small lupus trial, a result worth followingAn experimental antibody produced remission in six of ten participants assessed at one year in a 12-person lupus trial. That is encouraging early evidence, not a cure claim: the study was small and uncontrolled, and 11 participants experienced mild cytokine-release syndrome, an inflammatory reaction. Larger trials will need to establish how much benefit lasts and at what risk. Could gut microbes change peanut tolerance?A small study explored whether changing the gut microbiome could help adults with peanut allergy tolerate more peanut protein. Some participants improved, but the 15-person study had no control group. It raises a question worth testing; it does not establish a reliable treatment or make peanuts safe for someone with an allergy. | ||||||||||||
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One last discovery For better antivenom, ask a snakeSnakes come with some impressive built-in protection. Researchers studying western diamondback rattlesnakes found combinations of blood proteins that block toxins from several dangerous snake species. The July research suggests a route toward better antivenoms using snakes’ own molecular defenses. It is early work, not a treatment ready for the emergency room. Still, there is something satisfying about finding a clue to the antidote in the animal carrying the venom. | ||||||||||||
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Catch up on advances in medicine in a few minutes, or follow the sources and dig deeper. We check the sources and mark our opinions. The judgment is yours. In your inbox every Monday.
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