Restless legs syndrome treatment

Its recognition and treatment are essential. However, screening methods present limitations and should be improved. Moreover, available RLS treatment options albeit providing sustained relief to many patients are limited in number. Additionally, the development of augmentation with dopamine agonists represents a major treatment problem. A better understanding of RLS pathomechanisms can bring to light novel treatment possibilities. With emerging new avenues of research in pharmacology, imaging, genetics, and animal models of RLS, this is an interesting and constantly growing field of research 1).


The magnitude of the placebo response in RLS is above the threshold of Minimal clinically important difference, and the frequency of adverse events is also considerable. These results are relevant to inform the design and interpretation of future clinical trials 2).

In patients who responded to treatment, ferric carboxymaltose may require more time to stabilize restless legs syndrome than previously assumed 3).

see Intrathecal morphine for Restless Legs Syndrome

see Spinal Cord Stimulation for Restless Legs Syndrome


1)
Khachatryan SG, Ferri R, Fulda S, Garcia-Borreguero D, Manconi M, Muntean ML, Stefani A. Restless legs syndrome: Over 50 years of European contribution. J Sleep Res. 2022 Jul 9:e13632. doi: 10.1111/jsr.13632. Epub ahead of print. PMID: 35808955.
2)
Silva MA, Duarte GS, Camara R, Rodrigues FB, Fernandes RM, Abreu D, Mestre T, Costa J, Trenkwalder C, Ferreira JJ. Placebo and nocebo responses in restless legs syndrome: A systematic review and meta-analysis. Neurology. 2017 Jun 6;88(23):2216-2224. doi: 10.1212/WNL.0000000000004004. Epub 2017 May 10. Review. PubMed PMID: 28490647.
3)
Trenkwalder C, Winkelmann J, Oertel W, Virgin G, Roubert B, Mezzacasa A; FCM-RLS Study Investigators. Ferric carboxymaltose in patients with restless legs syndrome and nonanemic iron deficiency: A randomized trial. Mov Disord. 2017 Jun 23. doi: 10.1002/mds.27040. [Epub ahead of print] PubMed PMID: 28643901.
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