rls at night only

[Car14]

I have Rls at night sometimes it does and other times it does not do it it’s driving me mad and my wife I have sleep on the settee help please any ideas I take chocolate nips and Zinc

[Madlegs1]

What are your triggers?

Foods, drinks or medications?

What does your diary indicate?

What are the ingredients of chocolate nips,?

[Car14 in reply to Madlegs1]

Hi it as potassium magnesium iron cooper

[SueJohnson]

At night only is normal although some have it in the day too.

You mentioned before you aren't taking any medicines for it. It is probably time you did. Above all don't let your doctor prescribe a dopamine agonist like ropinirole (requip) or pramipexole (mirapex) unless there is some special reason s/he feels you need it. They used to be the first line treatment for RLS, but no longer are because of the danger of augmentation. Instead ask your doctor to prescribe gabapentin or pregabalin. Beginning dose is usually 300 mg gabapentin (75 mg pregabalin). It will take 3 weeks before it is fully effective. After that increase it by 100 mg (25 mg pregabalin) every couple of days until you find the dose that works for you. Take it 1 to 2 hours before bedtime. If you need more than 600 mg take the extra 4 hours before bedtime as it is not as well absorbed above 600 mg. If you need more than 1200 mg, take the extra 6 hours before bedtime. (You don't need to split the doses with pregabalin) Most of the side effects of gabapentin and pregabalin will disappear after a few weeks and the few that don't will usually lessen. Those that remain are usually worth it for the elimination of the RLS symptoms. According to the Mayo Clinic Updated Algorithm on RLS: "Most RLS patients require 1200 to 1800 mg of gabapentin (200 to 300 mg pregabalin) daily." If you take magnesium even in a multivitamin, don't take it within 3 hours of taking gabapentin (it is OK with pregabalin) as it will interfere with the absorption of gabapentin and don't take calcium within 2 hours for the same reason (not sure about pregabalin). Check out the Mayo Clinic Updated Algorithm on RLS which will tell you everything you want to know including about its treatment and refer your doctor to it if needed as many doctors do not know much about RLS or are not uptodate on it atHttps://mayoclinicproceedings.org/a...

Also you never answered the question about whether you had your ferritin checked. Improving it to that helps 60% of people with RLS and in some cases completely eliminates their RLS.

[Car14 in reply to SueJohnson]

Thanks for your reply