![]() Rotigotine (Neupro) and pramipexole (Mirapex) are approved by the Food and Drug Administration for the treatment of moderate to severe RLS. These medications affect levels of the chemical messenger dopamine in the brain. Medications that increase dopamine in the brain. Several prescription medications, most of which were developed to treat other diseases, are available to reduce the restlessness in the legs. If those aren't effective, your provider might prescribe medications. If you have RLS without an associated condition, treatment focuses on lifestyle changes. However, take iron supplements only with medical supervision and after your provider has checked your blood-iron level. Correcting an iron deficiency may involve receiving iron supplementation orally or intravenously. ![]() You can't rely on any doctor even knowing about it.Sometimes, treating an underlying condition, such as iron deficiency, greatly relieves symptoms of RLS. I suggest if you don't already know about augmentation then you need to inform yourself about it. Are you taking any other medications as a lot of medications can make RLS worse ranging from major antidepressants to simple antacids.Īlcohol, sugar, nicotine and caffeine can make RLS worse. You should also consider if there is anything you're doing that is making your RLS worse. Serum iron, transferrin saturation anf ferritin. ![]() If you haven't had tests recently, I suggest you request them now. In addition, you should have some blood tests when you were first diagnosed with RLS for iron deficiency. This would probably have a more signficant impact on your RLS than compression stockings or devices. Overall, I suggest you start thinking about replacing the dopamine agonist with something else that's less likely to casue augmenmtation., and stop the ropinirole. If you increase the dose of ropinmriole to compensate for the loss of efficacy it could trigger augmentation. In addition I also hope you were warned about a more serious and very common risk of taking a dopamine agonist like ropinirole, and that is augmentation. Hopefully you' were warned of this when you were first prescribed the drug. It's failing! This is known as "loss of efficacy". It seems to me that it's the ropinirole that is your problem. ![]() Make sure you get the right size and apply them correctly, otherwise they can be dangerous. The latter defeats the object of having them! I suggest if you do try some then get proper medical ones, NOT "one size fits all". I have no personal expereince of using them myself, but I have experience of applying them to other people. It may be a matter of trial and error, in which case I'd go for the less expensive compression stockings. Quite a few people in this forum have mentioned compression stockings, some find them helpful, others not.Īlthough there is some evidence that hypoxia is a factor in RLS, I've never come across any that demonsstrates the effectiveness of stocking or compression devices. If your circuclation is 100% OK then compression stockings (or any other expensive pneumaatic device), I don't think are going to be of much help. This can be worse if there are also other circulatory problems/vascular/heart disease. This can make RLS worse due to some hypoxia (lack of oxygen). Some people find compression stockings helpful for RLS espcially when they have poor venous return from the legs, varicose veins.
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