RLS relief

[skore50]

I was participating in a site like this years ago and did find it beneficial.

I am new to this one and looking forward to hearing your thoughts, remedies, advice and any other info you have on RLS.

I was diagnosed with RLS 20 years ago. I, as well as, my wife, have had many sleepless nights. I used wrap my legs with hot towels. That didn't work.

When I was diagnosed my doc started me on on Pramipexole (Mirapex). I took that with doc increasing over time until it got to the point I was not getting any relief from the medicine.

I started seeing a movement disorder/sleep doc. Things are a little better, but could be a lot better. I have also been diagnosed with Parkinsons.

I was recently prescribed Hydrocodone for a different problem. Don't have much trouble with the other problem but the Hydrocodone does a great job on RLS.

There is only one problem with it. I still do a lot of kicking so my wife ends up going to another bedroom on those nights

Does anyone have a prescription for Hydro or Oxycodone for RLS?

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Hi

The first line treatments recommended for RLS/PLMS are either pregabalin or gabapentin. These can be quite effective for controlling both RS and PLMS.

Dopamine agonists, such as pramipexole, which used to be the first line treatment are only now recommended if the first line fails. They're not necessarily ideal for RLS anyway because of the high risk of augmentation.

L Dopa and dopamine agonists are used for the treatment of Parkinson's Disease (PD). This is OK as they can treat both RLS and PD. IF augmentation occurs however they're a disaster as the treatment for augmentation is to stop them. This worsens the PD.

For refractory RLS, i.e. where the above two both fail either a combination is recommended or a high potency opioid. By taking either hydrocdone or oxycodone you have therefore stumbled upon the treatment for refractory RLS.

However, if you're still suffering PLMS then it seems the opioids aren't quite working.

It might be worthwhile thenif you could findout more about the possibility of a combination therapy and discuss this with the relevant doctor.

Here's a link you may find helpful.

mayoclinicproceedings.org/a...