Fatigue, a poor stress response, and a changed metabolism can result from muted or misaligned cortisol output in narcoleptics. These alterations may exacerbate daytime drowsiness and affect vitality in general. Modvigil 200 (modafinil) and other wake-promoting drugs can increase alertness, but they don't return cortisol levels to normal. Proper sleep scheduling, lifestyle modifications, and medical care under expert supervision are the main components of management. Comprehensive narcolepsy care may benefit from stress and hormonal health monitoring.