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Excessive daytime sleepiness (hypersomnia)

Excessive daytime sleepiness (hypersomnia) is a condition where people fall asleep repeatedly during the day.

Check if it's hypersomnia

Excessive daytime sleepiness (hypersomnia) is different from feeling tired all the time.

If you have hypersomnia, you may:

  • regularly nap during the day
  • fall asleep during the day
  • still sleep for long hours at night

See a GP if:

  • you often fall asleep during the day
  • sleepiness is affecting your life
What happens at your appointment

To find out why you're sleeping excessively, a GP might:

  • ask you about possible causes of your sleepiness, such as mental or physical health problems, or any medicines you may be taking
  • suggest you keep a diary of when you sleep
  • refer you to a doctor who specialises in sleep disorders

Treatment for excessive sleepiness will depend on what's causing it. It may include medicine to help keep you awake.

Causes of hypersomnia

Sometimes other conditions may be related to excessive sleepiness (hypersomnia). These conditions can have additional symptoms.

Symptoms and possible causes
Additional symptoms Possible cause
Additional symptoms

Feeling the need to sleep anywhere, sometimes without warning

Possible cause

Narcolepsy

Additional symptoms

Loud snorting, breathing and snoring at night

Possible cause

Sleep apnoea

Additional symptoms

An unusual feeling in your legs, particularly at night

Possible cause

Restless legs syndrome

Additional symptoms

Low mood, little interest in things

Possible cause

Depression

Additional symptoms

Mood swings that range from extreme highs (mania) to extreme lows

Possible cause

Bipolar disorder

Additional symptoms

Problems recovering after physical activity, problems with thinking, memory or concentration

Possible cause

Myalgic encephalomyelitis or chronic fatigue syndrome (ME/CFS)

Some medicines, drinking too much alcohol and taking drugs can also cause excessive daytime sleepiness.

Idiopathic hypersomnia

Idiopathic hypersomnia is when someone sleeps for long periods and wakes up feeling confused or irritable (known as sleep inertia) and not refreshed.

There's no known cause for idiopathic hypersomnia.

Things you can try to help your sleeping habits

Changing your sleep habits may not cure excessive daytime sleepiness (hypersomnia), but it might help you feel better.

Try to:

  • go to bed at the same time every night
  • avoid drinking alcohol and caffeine
  • create a peaceful sleeping environment
  • if possible, avoid medicines that can cause drowsiness
  • avoid working late into the night

It might also help to talk to your family and friends about your excessive daytime sleepiness so they're aware of it.

If you're diagnosed with hypersomnia you'll need to tell the Driver and Vehicle Licensing Agency (DVLA) and you may not be able to drive.

Find out about the rules on excessive sleepiness and driving from GOV.UK

Last Reviewed
30 June 2023
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Superintendent Pharmacist: Sanjay Majhu (GPhC No. 2052397)
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