RLS and Glyxambi: empagliflozin 25 mg linagliptin 5mg

[restlessstoz]

Hi every one.

I have been on some diabetic medication for some time and wonder if anyone has any feedback on it especially with regard to the effect on RLS symptoms.

I'm still having some irritating restlessness at night sometimes till 3 or 4 am and I'm grasping at straws. I've been able to add a half patch of 5mcg buprenorphine for the last three days of the 20 mcg patch to boost it but I'm getting breakthrough on the other days as well. It's not major symptoms but definitely so I can't stay lying in bed.

I have my hip replacement surgery next Thursday and I'm worried my legs are going to be uncontrollable.

[SueJohnson]

For your surgery tell your doctors and anesthesiologists about your RLS and its symptoms and that you need your medicine and ask if there will be any drug interactions from what they will give you. They can probably give you buprenorphine intravenously and you may need more than what you are on now. Naloxone can affect anesthesia so tell them if taking. Also talk with the patient representative ahead of time. Tell them not to give you any sedating antihistamines or sedating anti-nausea medications. Instead insist they use Zofran (ondansetron) for anti-nausea. You can download the Medical Alert Card that you can show your doctors, that tells them about the condition and what will happen after surgery and what medicines to avoid at rlshelp.org/ although you will need to join the RLS foundation. An international membership is $40, but they have some good information on it and you get their monthly magazine. However the safe antidepressants listed on medical alert card are not antidepressants: Lamotrigine, Carbamazepine, Oxcarbazepine. Also there is a 2 page handout "Surgery and RLS: Patient Guide" on the RLS Foundation website which is very helpful. Also "Hospitalization Checklist for the Patient with RLS"

On your patch as you know it runs out before the 7 days so you should insist your doctor gives you a refill every 5 days so you don't have to suffer.

Diabetes is often associated with RLS but the medicines you list for it are fine.

[restlessstoz in reply to SueJohnson]

Thanks Sue for your advice. I have the RLS Medic Alert Card information to give the anaesthetist and they have the list of my medications, but I'll take everything again, printed out so I can hand it to him/her prior to surgery. I should get a phone call to discuss my meds prior so I can stop taking things... such as the Glyxambi which does interfere with things. (I had my thyroid out in April/May so I remember what I had to avoid.)

Thank you for the diabetes information. I'm grasping at straws to see why my legs are playing up at the moment, even within the first three days of a new patch .

I do belong to RLS.org which is so useful. I also take the magazine in to my GP so he can read it.

I'll go and find the handouts you suggest. Thank you so much.

[Eryl]

You can cure your diabetes and RLS with a low carb diet and avoiding refined seed oils. Refined seed oils are probably a major reasons that you need a hip replacement.