MEASURING SLEEPINESS IN CHILDREN & ADOLESCENTS

Epworth Sleepiness Scale for Children and Adolescents
(ESS‑CHAD)

The ESS-CHAD can help measure your child’s level of daytime sleepiness. Help your child answer the questions below and share the results with your healthcare provider.

Over the last month, how likely have you been to fall asleep while doing the things that are described below (activities)?

Even if you haven’t done some of these things in the last month, try to imagine how they would have affected you.

ACTIVITY

/

CHANCE OF FALLING ASLEEP

0 = Would never
fall asleep

1 = Slight chance of
falling asleep

2 = Moderate chance
of falling asleep

3 = High chance of
falling asleep

Sitting and reading

Sitting and watching TV or a video

Sitting in a classroom at school during the morning

Sitting and riding in a car or bus for about half an hour

Lying down to rest or nap in the afternoon

Sitting and talking to someone

Sitting quietly by yourself after lunch

Sitting and eating a meal

Higher scores are associated with more daytime sleepiness. You should discuss you child's responses and score with your healthcare provider.

Total Score : 0

Your child’s ESS-CHAD score is:

0

An ESS-CHAD score greater than 10 suggests excessive daytime sleepiness. An ESS-CHAD score of 16 or higher suggests a high level of excessive daytime sleepiness. You should discuss your ESS-CHAD score with your sleep specialist.

Interpreting ESS-CHAD Scores

0

10

16

24

Normal levels of
sleepiness

Suggests excessive
daytime sleepiness(EDS)

Suggests a high level of
EDS

0

10

16

24

Normal levels of
sleepiness

Suggests excessive daytime sleepiness (EDS)

Suggests a high level of
EDS

This copyrighted material is reproduced with the permission of the authors. Unauthorized copying, printing, or distribution is strictly prohibited.

This screening tool is not intended to make a diagnosis or take the place of an evaluation by a sleep specialist.

Learn about

UNDERSTANDING XYREM HOW NARCOLEPSY IS DIAGNOSED xyrem for children & adolescents ages 7 and older

XYREM^® (sodium oxybate) oral solution, 0.5 g/mL is a prescription medicine used to treat the following symptoms in people 7 years of age or older with narcolepsy:

sudden onset of weak or paralyzed muscles (cataplexy)
excessive daytime sleepiness (EDS)

Important Safety Information

WARNING: Taking XYREM with other Central Nervous System (CNS) depressants such as medicines used to make you or your child fall asleep, including opioid analgesics, benzodiazepines, sedating antidepressants, antipsychotics, sedating anti-epileptic medicines, general anesthetics, muscle relaxants, alcohol, or street drugs, may cause serious medical problems, including trouble breathing (respiratory depression), low blood pressure (hypotension), changes in alertness (drowsiness), fainting (syncope), and death.

The active ingredient of XYREM is a form of gamma hydroxybutyrate (GHB). Abuse or misuse of illegal GHB alone or with other CNS depressants (drugs that cause changes in alertness or consciousness) have caused serious side effects. These effects include seizures, trouble breathing (respiratory depression), changes in alertness (drowsiness), coma, and death. Call your doctor right away if you or your child has any of these serious side effects.

Because of these risks, you have to go through the XYWAV and XYREM REMS. You or your child must be enrolled in the XYWAV and XYREM REMS to receive XYREM.

Do not take XYREM if you take or your child takes other sleep medicines or sedatives (medicines that cause sleepiness), drink alcohol, or have a rare problem called succinic semialdehyde dehydrogenase deficiency.

Keep XYREM in a safe place to prevent abuse and misuse. Selling or giving away XYREM may harm others, and is against the law. Tell your doctor if you have ever abused or been dependent on alcohol, prescription medicines, or street drugs.

Anyone who takes XYREM should not do anything that requires them to be fully awake or is dangerous, including driving a car, using heavy machinery, or flying an airplane, for at least 6 hours after taking XYREM. Those activities should not be done until you know how XYREM affects you or your child.

Falling asleep quickly, including while standing or while getting up from the bed, has led to falls with injuries that have required some people to be hospitalized.

XYREM can cause serious side effects, including the following:

Breathing problems, including slower breathing, trouble breathing, and/or short periods of not breathing while sleeping (sleep apnea). People who already have breathing or lung problems have a higher chance of having breathing problems when they take XYREM.
Mental health problems, including confusion, seeing or hearing things that are not real (hallucinations), unusual or disturbing thoughts (abnormal thinking), feeling anxious or upset, depression, thoughts of killing yourself or trying to kill yourself, increased tiredness, feelings of guilt or worthlessness, and difficulty concentrating. Tell your doctor if you or your child have or had depression or have tried to harm yourself or themselves. Call your doctor right away if you have or your child has symptoms of mental health problems or a change in weight or appetite.
Sleepwalking. Sleepwalking can cause injuries. Call your doctor if you or your child starts sleepwalking. Your doctor should check you or your child.

Tell your doctor if you are or your child is on a salt-restricted diet or if you have or your child has high blood pressure, heart failure, or kidney problems. XYREM contains a lot of sodium (salt) and may not be right for you or your child.

The most common side effects of XYREM in adults include nausea, sleepiness, dizziness, vomiting, bedwetting, and tremor. The most common side effects of XYREM in children include, nausea, bedwetting, vomiting, headache, weight decreased, decreased appetite, dizziness and sleepwalking. Your side effects may increase when you take higher doses of XYREM. XYREM can cause physical dependence and craving for the medicine when it is not taken as directed. These are not all the possible side effects of XYREM.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1‑800‑FDA‑1088.

Please see full Prescribing Information, including BOXED Warning, and Medication Guide.

Important Safety Information

WARNING: Taking XYREM with other Central Nervous System (CNS) depressants such as medicines used to make you or your child fall asleep, including opioid analgesics, benzodiazepines, sedating antidepressants, antipsychotics, sedating anti-epileptic medicines, general anesthetics, muscle relaxants, alcohol, or street drugs, may cause serious medical problems, including trouble breathing (respiratory depression), low blood pressure (hypotension), changes in alertness (drowsiness), fainting (syncope), and death.

Important Safety Information

The active ingredient of XYREM is a form of gamma hydroxybutyrate (GHB). Abuse or misuse of illegal GHB alone or with other CNS depressants (drugs that cause changes in alertness or consciousness) have caused serious side effects. These effects include seizures, trouble breathing (respiratory depression), changes in alertness (drowsiness), coma, and death. Call your doctor right away if you or your child has any of these serious side effects.

Because of these risks, you have to go through the XYWAV and XYREM REMS. You or your child must be enrolled in the XYWAV and XYREM REMS to receive XYREM.