A 23-year-old graduate student with a history of epilepsy and alcohol use disorder presents to your office for evaluation. He states that he has been falling asleep multiple times throughout the day despite getting at least seven hours of sleep at night. He states that sometimes when he awakens from sleep, he cannot move his body and, at other times, he sees vivid images of people as he is falling asleep. He also reports that sometimes when he laughs, he feels weak and falls to the floor. Which of the following medications would be the best initial treatment for this patient?
A. Melatonin
B. Methylphenidate
C. Modafinil
D. Trazodone
a) A. Melatonin
b) B. Methylphenidate
c) C. Modafinil
d) D. Trazodone