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Every treatment affects each individual differently. A medication that is an absolute miracle for one patient, may have no affect at all for another.
Treatment seems to be trial and error for most Sleep Specialists. If I may use myself as an example, I can say that my medications were changed by my Doctor every thirty days for the first five months following my initial diagnosis. Now I am prescribed two Central Nervous Stimulants twice each day and I STILL must take daily naps...
Primarily there are three popular methods for the attempted treatment of Narcolepsy:
1) Stimulants in Pill Form
2) Sleep Aids (Xyrem seems to be prescribed most often and is a highly regulated sleep inducer with very strict rules regarding it's dosage and distribution. (From the Single Manufacturer!)
3) Sleep & Nap Scheduling - Some patients elect to refrain from a treatment involving medication and instead schedule a solid block of night-time sleep in conjunction with regular naps throughout the day.
Many Doctors use a combination of these methods.