Doctor insights on:
Hyperthyroidism Restless Legs
Baclofen? Doubt it: I've never prescribed Baclofen for RLS. I'm sure someone has but none of my colleagues have. Problem is we don't know what causes RLS but we don't believe it is due to muscle spasms which is what baclofen would treat. We believe it's more along the lines of some type of neuropathy. From the brain, the legs, a sleep disorder? Iron may have some effect in iron deficient people but otherwise NOT. ...Read more
Hypothyroidism is a medical condition that lowers the level of thyroid hormone to a point where the patient has a marked decrease in overall health. Often the patient does not notice the loss of thyroid hormone for several weeks or more. Once diagnosed with low thyroid hormone levels, the patient will be prescribed with thyroid hormone to a point where the thyroid levels are normal and ...Read more
What is RLS?: Restless Leg is a condition where you have an uncomfortable sensation (burning, crawling, cramping, aching, tingling, etc.) in you legs that cause an urgent/irresistible need to move your legs (walking, moving legs, messaging, rubbing, etc.). This movement usually occurs when going to bed and can progress to the daytime and sometimes to the arms. See a movement disorder neurologist for Treatment. ...Read moreSee 2 more doctor answers
Multiple: Dopamine agonists work best and include ropinorole, pramipexole, the new Neupro (rotigotine) patch. More traditional meds have included l-dopa, and clonazepam. If you have anemia or kidney disease, better treatment of these conditions may work. Check serum ferritin as some folks may have issues with iron metabolism. Rls is occasionally associated with ms>. ...Read moreSee 2 more doctor answers
NOT FULLY KNOWN: But do find some patients with disruption of iron stores, so, can check ferritin levels. We do find some problem with dopamine issues, and find success in using dopamine agonists, but another approach using Horizant, affects different brain chemicals. May be some genetic links in a few families, and association with a sleep disorder in some also found. ...Read more
Dopamine lack: I think restless leg syndrome is probably caused in susceptible people (tends to be familial) by a relative lack of sufficient Dopamine and is often associated with fatigue, dopamine-blocking medicines, chronic illness, and the end of gestation. Medications that increase Dopamine are frequently helpful as can be Neurontin (gabapentin) and Klonopin (clonazepam).. ...Read moreSee 1 more doctor answer
Find Out Cause First: Rule out underlying causes that may can be treated such as mineral deficiencies, venous insufficiency or various immune deficiencies. Start with blood work and a venous ultrasound by a vascular surgeon. Review medication for side effects . If no underlying cause is identified, get daily exercise and cut back on smoking & drinking. Take a multi-vitamin with iron and save medication as last resort. ...Read moreSee 1 more doctor answer
RLS: Key is to diagnose it first with a consultation to a sleep medicine specialist. Medications can be prescribed for it including dopaminergics like Requip (ropinirole) or mirapex, opiates, benzodiazepines, or antiepileptics. If it is due to another condition, treating that condition can help treat it. Gentle stretching exercises and avoidance of caffeine near bedtime can help. Hope that answers your question. ...Read moreSee 1 more doctor answer
Look for cause: In many cases, RLS is being driven by an underlying disease, such as neuropathy or iron deficiency, and treating this disease can eliminate the leg symptoms. Barring this, there are medications that can suppress the symptoms of RLS and restore proper sleep. Ask a neurologist for more details. ...Read moreSee 1 more doctor answer
The best way to consider akathisia is to imagine the need to move. Patients with this condition have major problems sitting still. They have a need to move. This can be a side effect of medication, may be associated with disease such as parkinsons, or may be a normal variant. Most doctors use it it describe the ...Read more
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