When you try to relax in the evening
Or sleep at night, do you ever have unpleasant
Restless feelings in your legs
That can be relieved by walking or movement?
R.L.S, circadian pattern
Dopamine dysfunction at night
Brain iron transport impaired
Thalamic pathways excite
If ferritin level falls below fifty
Prescribe ferrous sulfate
325 milligrams B.I.D
And consider adding vitamin C
When you try to relax in the evening
Or sleep at night, do you ever have unpleasant
Restless feelings in your legs
That can be relieved by walking or movement?
Gabapentinoids first-line treatment
If sleep disturbance
Anxiety or chronic pain
Or impulse control concerns
Otherwise dopaminergics
Pramipexole (Mirapex)
Ropinirole (Requip)
Or rotigotine patch (Neupro)
When you try to relax in the evening
Or sleep at night, do you ever have unpleasant
Restless feelings in your legs
That can be relieved by walking or movement?
Monitor augmentation course
Use lowest effective dose
May need medication change
Symptoms shift to earlier shows
May be caused by iron deficiency
Antihistamines, antipsychotics
Or serotonin reuptake inhibitors
Can make symptoms worse at night