Most effective DA?

Hi all. My wife has PLMD ever since coming off Citalopram that results in her having a poor sleep quality and me often having to decamp to the spare room 😞. GP has given her Amyltriptaline that we are very uneasy about using due to poor feedback I’ve read. We are due to see different GP soon and we will be requesting a DA as an alternative medication. Which one do you feel is most effective?

(PS she is taking iron supplements daily even though blood tests indicate no deficiency)

Any thoughts/opinions would be very welcome

Thank you

Elliott

[Kaarina Administrator]

You are correct, very few RLS sufferers can take amitriptyline without it making their symptoms much, much worse. On the RLS-UK website it is listed as one of the medications to avoid. rls-uk.org/treatment/

[Hidden in reply to Kaarina]

Thanks for the confirmation Karina. Any views on effectiveness of Gabapentin vs the DA drugs?

[Madlegs1]

In researching an answer to your question, I came across this site, which is quite extraordinary in it's clarity and simplicity.

uptodate.com/contents/treat...

I think you will find an answer in there.

Good luck.

[Hidden in reply to Madlegs1]

Very informative Madlegs1. Thank you very much for this. 👍

[Pippins2]

Well the safest DA in terms of augmentation risk is Ritigotine Neupro patch. The downside is its very expensive compared to the others. X

[Hidden in reply to Pippins2]

Thank you Pippins. Lots of great info for us to look closer at 👍