Discussions that mention requip

Pain Management board


Hey Rach, Potassium is supposed to help with restless leg syndrome, If you take anytype of Diuretic like HcTZ it's even more important to take potassium to keep your electrolytes balanced.

The national institute of neurologica disorders NINDS, also suggests that RLS could be caused by an Iron definiency, if you have ever been DX with enemia, it wprobably wouldn't be a bad suplement. The B viatamins have have a link to improved cognative effects. Particlarly Methel B-12, which is one of the 2 and less common ways to extract B the other version of B12 isMETHYLCOBALAMIN. There have been reported brand differences from one manufacturer of - METHYLB12 and others.



My doc first tried, Requip and miripex due to ity's action on Levodopa, another treatment I tried was Zinc, but there is no actual cure that has been risen above the rest. Klonopin is a good RX alternative too. Due to it's half life 30+ hours, and anti convulsive action it was the med I settled with after trying Vits, and the two parkinsoms meds.

If you take morphine products, there is a specific metabolite hat causes RLS, the M6G and most recomendations are to rotate opiates every 4-6 months to allow this matabolite to clear. The usual rotation is from morphine to Hydromorphone.

There is alot of info on the net about RLS, however what works for one may not work for another due to specific drug interactions, Obviously people that don't take morphine and have a direct cause and effect relation can also develop the problem.

Hoewever I cut this from another article that suggests the use of several meds below.

Although many nonpharmacologic treatments have been reported by patients to be helpful, there is no scientific evidence to show that they are useful in the treatment of restless legs syndrome.

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Dopaminergic agents
Dopamine precursor combinations such as carbidopa-levodopa Can be used on a "one-time" basis or as circumstances may require. Useful for persons with intermittent RLS because dopamine agonists take longer to have an effect.
Dopamine agonists such as pergolide, pramipexole, ropinirole Useful in moderate to severe RLS. Recent reports indicate high efficacy of dopamine agonists, but the role of their long-term use is unknown.

Opioids such as codeine, hydrocodone, oxycodone, propoxyphene, tramadol Can be used on an intermittent basis.

Benzodiazepines such as clonazepam, temazepam Helpful in some patients when other medications are not tolerated and may help improve sleep.

Anticonvulsants such as carbamazepine, gabapentin Can be considered when dopamine agonists have failed.

Iron (ferrous sulfate) Use in patients with serum ferritin levels <50 ng per mL (<50 µg per L). Ideal means of administration has not been established. Oral treatment may take several months to be effective and may be poorly tolerated.
Clonidine May be useful in hypertensive patients. Has the potential to cause hypotension, dermatitis and sleepiness.

It's really trial and error but I know how annoyingthe problem is. Do some rteearch and I can get you some info on MethB-12 brand experiences if your interested.
Take care, Dave