Patient letters on RLS symptoms and remedies- Page 117

 

Kicking RLS/PLMD Patient



Sent: Monday, July 31, 2017 1:41 AM
Subject: Restless Legs Syndrome (RLS)

Before I retired I would get RLS once or twice a year. But after I retired I started getting it every night. They started me on .125 mg of Pramipexole which worked like a charm but slowly I had to keep taking a higher and higher dose to get relief. 7 years into retirement and I was at 1 mg and augmentation kicked in.

I started getting symptoms earlier in the day and in my upper body as well. I decided to try to wean myself off Pramipexole so I could reset back to the .125 mg level. I cut the Pramipexole dose in half and added in 2.5 mg of Oxycodone that I had acquired for other medical problems (no doctor would prescribe Oxycodone for RLS). This has worked but Iím running out of Oxycodone. My neurologist suggested taking Lyrica and weaning off Oxycodone first and then off Pramipexole. Itís only been a few days, but Iíve been able to stop the Oxycodone.

My question is how fast should I try to wean off Pramipexole and in what dose decrements. I did try .25 mg Pramipexole and the RLS came back with a vengeance. Also Lyrica is still under patent and very pricey. Is there another similar drug I can try?

John S.

A Medical Reply

The issue that you will have that will make it difficult to wean off the pramipexole is that once augmentation has occurred (a worsening of RLS due to taking pramipexole over time), getting off of it will make the RLS many times worse for about 10-14 days. Whether you taper slowly (by .125 mg) or more quickly by .25 mg, once you try stopping the pramipexole completely, it will be very difficult.

Lyrica does not work that well to help patients wean off pramipexole. Gabapentin is somewhat similar (but does not get absorbed as well or as predictably) but is cheaper (but still may not help that much).

Only opioids such as oxycodone work really well to transition off pramipexole. However, you may need a low dose indefinitely and may have trouble getting it prescribed for you.


Sent: Sunday, August 06, 2017 6:50 AM
Subject: RLS and dopamine agonists

Can Dopamine Agonists meds e.g. Mirapex and Ropinirole be taken on an "as needed basis ",taking once symptoms have already occurred?

This is currently a topic of discussion on a support group. I would say it needs to be taken on a daily basis as symptoms are more difficult to stop once started and taking as needed would cause a rise and fall of dopamine levels.

Kim W.

A Medical Reply

You are partially correct. Typically, it is so much easier (and requires less medication) to prevent RLS symptoms rather than waiting to treat active symptoms. That being said, for patients with intermittent RLS (who donít typically know when they are getting symptoms), short acting DA used to be on the RLS treatment algorithm. In the more recent one (2013), we dropped short acting DA from the algorithm for as needed use. However, I have patients who do use it on an as needed basis and seem to do well (a small group of patients). I also have patients who will take a DA before a long plane trip or car trip (before symptoms start) and that seems to work quite well (with no concern of augmentation due to the intermittent usage).

The other issue is that some patients need to slowly increase the dose until they reach an effective dose (due to side effects) and then intermittent DA therapy would not be appropriate.


Sent: Tuesday, August 08, 2017 5:31 AM
Subject: RLS and bariatric surgery

I'm a 42 year old old women who's dealt wit RLS for over 10yrs. It also runs in my family, my mom, nana, and sister all have dealt with it. At first I would drink calm and it was fine. But over the past few years it's gotten worse. I started Klonopin .5 then 1mg then 1.5mg. I didn't use it every day but only as needed. I also tried Requip but that made it worse. Muscle relaxers make it worse to (I've tried flexeril and Tizanidineack).

Back in Nov I had gastric sleeve surgery (I was type 2 diabetic, high bp, high cholesterol). And my RLS went away for awhile. I've had my iron and magnesium checked and it's all good. But ever since my surgery I've had back problems. I have herniated disks from T1-10 with majority of the problems t5,6,7.

In March I started having shots in that area (11 totally) along with taking 100mg of Tramadol at night. 2weeks ago I stopped the Tramadol and then started taking an oral steroid for sciatica pain. This week has been the worst for my RLS. I've hardly slept. Taken many Epson salt baths, tried Ambien, worked for maybe an hour.

My problem is I can't take gabapentin it upsets my new stomach. I can't take any anti-inflammatory medicine or extended release medicine. What can you recommend? I need sleep. I can say my A1C is 5.5 so that's good but since I started the oral steroids my bp has gone from 118/73 to yesterday 139/106.

Could this make my RLS worse. And what do you recommend. I haven't slept much over the past week. What kind of information can you give me to pass along to my doctor. I did also just start exercising too. Any help will be appreciated.

Jodi E.

A Medical Reply

You could discuss taking Lyrica with your doctor. It is similar to gabapentin (acts on the same receptors) but is chemically different so it may not upset your stomach. However, it can be expensive as it is a brand name (no generic yet) and is not FDA approved for RLS.

Another choice would be to use tramadol on a regular basis as it does treat RLS quite well and stopping it may have aggravated your RLS.

Also, check your ferritin levels (iron stores) as we like to have them well above 75.


Sent: Sunday, August 06, 2017 1:56 PM
Subject: Urgent advice needed

I would like to ask for your help, if possible, to decide what medication is best for me now that I have gone ďcold turkeyĒ off 12 mgs. of Extended Release Ropinirole, which I have been on for over seven years. The website members on Health Unlocked helped me to recognize that I had been experiencing extreme augmentation for months due to this extremely high dose my neurologist had put me on. In less than year, he increased my dosage from 2 mgs of regular Ropinirole to 12 mgs, by going from 2 mgs, to 4 mgs, then 8 mgs, and finally 12, whenever I saw him expressing a concerned about an increase in the frequency, duration, and intensity of my RLS symptoms as they were also expanding from my legs up through my entire body.

When he put me on the 12 mg dose, my episodes became completely unbearable, occurring once and sometimes twice a day, lasting anywhere from 2 to 8 hours. Of course, sleep was impossible. He never once mentioned the word augmentation, something I knew nothing about, until I discovered the Health Unlocked website when the 12 mg dosage led me to turn to the Internet for help. Instead, he suggested that I was bringing these episodes on myself, because I was over reacting to the severity of these episodes, thus trigger more episodes. That was the last straw for me with this neurologist. I never went back.

I instinctively knew I had to get off this awful medication. When I began researching RLS treatment options, I joined the RLS/WED society, and found my way to the Health Unlocked website. In addition, I solicited the help of my GP, who admitted that even though she didn't know much about RLS, she would be fully supportive of my intention to get off this medication slowly, and agreed to research it along with me so that we could determine what needed to take place as I continued to titrate off Ropinirole. She ordered blood tests to check my iron levels. They were low. I was not anemic, but my iron stores were definitely under the acceptable limits. I began taking iron sulfate twice a day, but it didnít do a thing for me.

The health unlocked website members clued me into the advantages of using Iron Bisglycinate. I had never heard of it nor had my GP. The first time I took the 28 mg Iron Bisglycinate capsule with orange juice as they instructed during an augmentation episode, I felt complete relief in less that 15 minutes.

As of mid-June, I had titrated down to 2 mgs/day of regular Ropinirole since January of this year. It all went quite well. I experienced almost no augmentation or even RLS symptoms, until I got down to 4 mgs. a few months later. At that point, I started experiencing full-body augmentation again, but continued on. When I got down to 2 mgs. one website advisor suggested I switch to 2 mgs of the regular Ropinirole as the augmentation on it is often less. I did, and it was better. My symptoms were mostly confined to one leg or the other, however sleep was still difficult. In addition, my quality of life was affected, because I couldnít sit in a chair or a car seat for more than 20 minutes without my legs going twitchy.

Rather than continue slowly titrating down at .5 mgs/month for he next few months, I decided to go "cold turkey" as some of the website folks had done. They warned me about the severity of withdrawal. Trusting their warning, I met with my GP and told her of my decision to discontinue my Ropinirole altogether, and asked if there was something she could give me to ease the withdrawal symptoms. She gave me a script for Clonidine 0.01 mg once a day. I started the process last Friday. It hasn't been too bad, although she did have to increase my clonidine from one pill to two a day as the first three days were very difficult. I got little sleep, but symptoms began to ease over the course of the week. I was also taking 1200 mgs of Gabapentin/day and 200 mgs of tramadol, which I had been on for several years due to a botched foot operation resulting in painful nerve and arthritis damage in both feet and ankles.

Eight days later, I am now feeling much better, with only mild leg twitches twice a day, always at 4 PM and 9 PM, the exact times of the day I tend to get sleepy.

My concern now is as I come to the end of this "cold turkey" withdrawal, what can I expect from my body and my RLS? My GP suggested that I may be able to maintain control over my RLS with an increase in Gabapentin, perhaps to 2400 mgs, spread out to 4 doses of 600 mgs each throughout the day, and 100 mgs of Tramadol twice a day, along with Iron Bisglycinate once a day. However, Iím finding I do need the iron now twice a day. I am of course concerned about taking too much iron. We will test it frequently to see if that should begin to happen. MY GP thinks that twice a day for a while will be okay, but to use it only PNR.

I am asking for you for advice and guidance Dr. Buchfuhrer to tell me as best you can without seeing me (this is why I gave you so much detailed information about my medication and experience) if you think that perhaps the Gabapentin, tramadol, iron combination could possibly be a viable approach, now that I am off the ropinirole and have no intention of ever getting on a dopamine agonist again.

If this combination of medication doesnít work, neither I nor my GP know what to suggest as another course of treatment for me now. She thought perhaps Lyrica might be good, especially since I have a lot of nerve and arthritis pain in my feet and ankles, but Iím concerned about the negative side effects, such as memory loss, dizziness, jelly legs, hair loss, and weight gain. I am over all, a healthy and active 70-year old woman, who has had few health issues, other than a recent surgery to remove an 8 cm. ovarian cyst along with my ovaries and tubes. I recovered from that nicely, but found that the Percocet they gave me following the surgery aggravated my RLS. So I am concerned that being on any kind of opioid drug is not an option for me as an alternate treatment. I have had no bad side effects on gabapentin or tramadol. I looked into gabapentin enacarbil (Horizant), but the copay for me would be close to $500 a month. As a retired person on a fixed income, that is out of the question.

Barbara G.

A Medical Reply

It is difficult to give you specific and detailed advice as that is not the purpose of my website/email service. I try to answer simple questions and guide patients in the right direction.

You are correct that you should not go back on any of the short acting dopamine drugs (and likely not the long acting ones either).

Gabapentin is not well absorbed (in most people) in doses over 900 mg so increasing the dose may not be helpful. That is not the case with Horizant or Lyrica (this may also be expensive).

Even though Percocet seemed to worsen your RLS, this could have been partly due to the surgery/post op period or you may still do better on a different opioid.

A Reply from Barbara

Sent: Tuesday, August 08, 2017 10:35 AM
Subject: Re: Urgent advice needed

Thank you for taking the time to respond to my email regarding options for my what-do-I-do-now plea. Your answers were most helpful as were your Guidelines for first-line treatment attachment, which I did pass on to my GP. However, I do have a few follow up questions:

1. How long does Ropinirole withdrawal typically last, as I am still have some severe withdrawal symptoms in my legs on day 10?

2. Your paper suggests that perhaps I should consider a transitional medication, especially since Gabapentin is not well absorbed beyond 900 mgs. Yes, Horizant does look like a very viable option for me, but the cost is out of the question. Lyrica is affordable, and although I am cautious about the side effects, might that be a good transitional medication to help me through these last few days of withdrawal?

3. Might Lyrica then be a good next step medication to help me manage my RLS for the long or longer term?
conditions.

4. What about Rotigotine as a transitional medication during this withdrawal?

Any light you can shed on this very dark time in my life would be so greatly appreciated.

Barbara G.

A Medical Reply

It typically takes about 10-14 days for the RLS to calm down considerably after stopping a dopamine drug like ropinirole. However, some patients have experienced weeks or longer of worsening (a small percent however).

Lyrica is typically better and more predictable for treating RLS. Its major side effects include sedation, weight gain and edema (swelling of the legs).

Rotigotine (the Neupro patch) is a dopamine agonist and you would need a very high dose to match the ropinirole dose that you were taking. Normally, I would not consider using this drug at this time in your case. I sometimes add a small dose (like Neupro 1 mg) later on if I need more help and have a limited choice of other drugs to use (typically because the patient is intolerant or not responsive to other treatments).

The problem with all the above is that it often takes considerable expertise to manage all the options and choose the correct ones. Most doctors have little experience and donít know these drugs very well. Again, even though you had a bad reaction to Percocet, opioids are typically the most effective (and very safe when used correctly) treatment for RLS especially once augmentation has occurred.


Sent: Tuesday, August 08, 2017 9:39 PM
Subject: RLS help

I'm a 58 y/o male living in Adelaide, South Australia - a long way from California sorry. Very recently prescribed 0.25 mg/night pramipexole. My question relates to whether or not I have Restless Legs Syndrome or Periodic Leg Movement Disorder or a some kind of cross between them. My symptoms are intermittent. When they occur it is almost always on retiring for bed & within 20 minutes I get a mild upper left quadrant ~ stomach or abdomen discomfort which seems to trigger a nerve impulse usually down my right leg - however - it can also just affect the left leg occasionally resulting in an involuntary leg jerk twitch.

From reading the criteria for RLS - I'm a bit confused as to whether or not my leg jerk/twitch is the same as the one described as an URGE to voluntarily move my leg. It is a totally involuntary jerk. It is severe enough to prevent sleep onset.
I've had investigations to rule out anything sinister in the GI tract Antacids - proton pump inhibitors and simethicone have little to zero effect on the abdominal discomfort or the jerk.

However - the confusing part is that for the 4 out of the last 6 nights that I had symptoms.. After the onset of symptoms - I took 1/2 tablet (0.125mg) pramipexole and it had rapid effect in ceasing the symptoms. I've had these intermittent symptoms for around 30 years with no real increase in frequency or severity.

I have recently completed a very slow 9 month taper off of intermittent prescribed benzodiazepine use. (last on clonazepam 4/mg/day). My thoughts are that the RLS? symptoms are somehow linked with the chronic intermittent benzo use.

Andy R.

A Medical Reply

You most likely do not have RLS but may have PLM. Those are involuntary leg jerks (sometimes even including the arms) that occur at rest and especially when in bed. Pramipexole works extremely well to ablate the PLM. However, with time, the pramipexole may worsen the PLM or even trigger the emergence of RLS.


Sent: Monday, August 14, 2017 3:44 PM
Subject: best relief ever

Severe RLS for 38 long years. I have tried more ways of feeling better than I can fit on a page so will not bother with a list.

Last year I finally got an appointment at Johns Hopkins in Baltimore, MD. The doctor ran me through a lot of tests.
In the end she told me to go either cold turkey or gradually off of Ropinirole and not to resort to taking Mirapex because it works the same. She said at Johns Hopkins they find they must do this for every person who has been taking them who comes in before they can treat them. They also, NEVER prescribe these meds because they always make the RLS worse over time.

I went through several weeks of withdrawal hell.

I started to just take 100 mg of Tramadol at 13:30 and another 100 mg Tramadol at 19:30. Over the past several months I have had more sleep than I have had in 38 years and the RLS rarely bothers me during the day.

This, to me, is a miracle.

Also, I do not eat anything from the nightshade family of fruits and vegetables nor do I eat apples, cherries, beets or any number of other items that contain solanine. If I do, I pay the price.

I want to share my success. My life is new and I am forever grateful. There are no words that can adequately explain the horrid mess I had prior to this.

Linda W.


Sent: Saturday, August 19, 2017 7:10 PM
Subject: RLS question

I'm a 60 YO female who just had a total hip replacement 30 days ago which I'm recovering nicely from, and I had a cervical laminectomy 1.5 years ago on the left side, however the spine surgeon at the time told me the MRI actually shows more stenosis on the right side (although I'm asymptomatic on the right side). I regret not having had the laminectomy done on both sides.

I also have 2 histories of sciatica (17 and 14 years ago), one of which was treated with a lumbar injection. Lower back pain has been manageable but my question is this: I have RLS, sometimes so severe that I need to take hydrocodone to get any relief. I'm also on Requip and two other antidepressants for depression/anxiety, and Levothyroxine for hypothyroidism.

I've heard that RLS can be (or is) caused by inflammation. Could this be the case, that it's exacerbated by any one of my conditions of the spine? Should I get a second MRI? I'm almost at the point where I can't live with this RLS, Requip isn't helping and I don't know what to do next.

Heidi H.

A Medical Reply

RLS is not directly affected by inflammation in your spine or anywhere else.
So, if you need an MRI, it should be for your back pain or sciatic symptoms, not for RLS.

Your RLS may have just gotten worse after surgery as you may be more sedentary after the surgery and that triggers more RLS. Also, any stress (like surgery) tends to worsen RLS.

Your bigger and more important issue is that Requip tends to cause augmentation (a worsening of RLS) that increases RLS symptoms and creates a need for higher doses which will continue to worsen RLS. I have attached the RLS augmentation article that several of us experts have recently published which explains this issue in more detail.

In addition, most antidepressants worsen RLS so that may be adding to your problem.


Sent: Sunday, August 20, 2017 6:22 AM
Subject: Requip side effect

I have RLS & my doctor prescribed Requip. Requip immediately stopped my RLS. However, after taking this drug for about 6 weeks; I have swollen joints, fluid retention & joint pain. My doctor told me to stop taking Requip immediately & prescribed Lasix for fluid retention. I am still having all of the above symptoms.

Does Requip have a long term effect with these complications?

Rita H.

A Medical Reply

Requip usually does not have long term side effects after being stopped. Your symptoms are quite unusual after stopping Requip so if they persist, further investigation would be needed.


Sent: Friday, August 25, 2017 12:41 AM
Subject: Ropinirole

I am a long time sufferer of RLS and would very much appreciate some advice. I have been taking Codeine for some time with some success. However, I need another medication to rotate with this because I regularly build up tolerance and need to take a drug holiday in order to make it effective again.

I live in the UK where Ropinirole is the main drug used to treat this condition. I don't want to take any medication every day and also I am aware of the problems with augmentation with any dopamine agonist. Is it possible to take Ropinirole three or four times a week or does it need to be taken daily?

Anne B.

A Medical Reply

Once you find the lowest effective dose of ropinirole, you could rotate it with codeine. However, we normally do not see tolerance develop to codeine. It may be that your RLS is a little worse simply requiring a little more codeine to treat it. An additional drug to consider is tramadol. Although it is classed with the opioids, it is quite different and may work better than codeine.

Before trying ropinirole, I would suggest that you consider gabapentin and see how that works for you. Lyrica is another choice that works more predictably as it gets more predictably absorbed.

A Reply from Anne

Sent: Friday, August 25, 2017 1:59 PM
Subject: Re: Ropinirole

 Are you saying that I could take Gabapentin 3 times a week? Or does it need to be taken daily?

Anne B.

A Medical Reply

Gabapentin can be taken a few days a week but most patients take it daily as tolerance or dependence does not occur and if it helps, taking it daily is a reasonable thing to do.

A Reply from Anne

Sent: Saturday, August 26, 2017 2:37 AM
Subject: Re: Ropinirole

Thanks for that information. And can I assume that if my doctor will only prescribe Ropinirole (which is what I suspect will happen) I could take that several times a week too?

Anne B.

A Medical Reply

My advice would be to stay away from the dopamine related drugs like ropinirole. You might find it very hard to stop once you start it.

Most doctors will readily prescribe gabapentin as it has been available for decades, they are very familiar with it and it is very inexpensive. That is a much better choice.

A Reply from Anne

Sent: Friday, September 1, 2017 1:41 AM
Subject: Re: Ropinirole

On the basis of your helpful advice, my doctor has prescribed gabapentin for me. However she has no experience of using this for RLS and was not sure of the dose I should take. Please could you give me some advice on this?

Anne B.

A Medical Reply

I usually recommend starting with 300 mg for patients 55 years old or younger, 200 mg for those between 55 and 65 and 100 mg for those older than 65. This dose can be increased every 3-7 days if needed to control symptoms (and assuming no side effects such as significant next day sedation) only if needed. Generally the maximum dose should not exceed 900-1200 mg.

The gabapentin is best taken 1-3 hours before bedtime or before the usual onset of RLS symptoms.

If the gabapentin is not effective (it often does not get absorbed well), pregabalin is another option.


Sent: Tuesday, September 05, 2017 7:15 AM
Subject: Diazepam for RLS

I have been taking Clonazepam 0.5 mg up to four a night for the last 20 years. I did have a year's break when I tried lots of the other medications but came back to Clonazepam as none seemed to work as well.

I asked my GP if i could try the equivalent does of Diazepam instead to see if it works better than Clonazepam. I believe the equivalent does is 20 mg of Diazepam to 0.5 mg of Clonazepam but my GP wanted to prescribe 2 mg, but I persuaded him to prescribe 5 mg up to three times per night . Could you advise on the correct dose please?

Lorraine R.

A Medical Reply

It is very difficult to equate clonazepam and diazepam doses as this can vary widely from person to person.

Also, it is not clear why you would want to make this change since both drugs are benzodiazepines and act on the same receptors. There is no benefit from switching from one to another. In addition, both drugs have an extremely long half-life and are not recommended for use as sleeping pills.

Your dose of clonazepam is already at the high end of recommended doses (likely due to tolerance of the drug) and the dose of diazepam is above recommended doses.

My suggestion is the same as previously and that is to wean off the benzodiazepine drugs and discuss other therapies with your doctor.

A Reply from Lorraine

Sent: Thursday, September 7, 2017 1:35 AM
Subject: Re: Diazepam for RLS

Many thanks for your answer.

I read somewhere that people taking Clonazepam for RLS would probably do better taking Diazepam as this is more effective for RLS! I do not use them as a sleeping pill. I have already tried very many of the other drugs suggested for RLS but none work for me (I get dyskenisia with the Parkinson drugs). I will perhaps ask my GP to refer me to a neurologist, although no one in my area in UK specializes in RLS.

Lorraine R.

A Medical Reply

I do not know where you read that diazepam is better for RLS as I have never heard that before and I doubt it is correct (except for a few anecdotal cases which can occur for any drug).

Again, the benzodiazepine drugs do not treat RLS symptoms but only help RLS patients fall asleep like any sedative drug. They would thus treat headaches, back pain, or any other discomfort similarly.

If the Parkinsonís drugs did not help your RLS (in addition to the other RLS drugs not helping), I would suspect that RLS may not be the correct diagnosis.


Sent: Thursday, September 07, 2017 2:06 PM
Subject: Changed from Requip to Mirapex

I have changed from Requip to Mirapex taking .50 in the evening. I am delighted to find out that my daytime and early evening symptoms seem to have gone. How can this happen? I did not know Mirapex would accumulate in the body if that is the reason.

Pippa P.

A Medical Reply

Mirapex has a longer half-life than Requip (8-12 hours compared to 6 hours) so it does last longer in your body. It therefore might help your early daytime symptoms but the evening symptom relief is more unusual. Taking the drug once a day should not cause it to accumulate (it is often taken every 8 hours for Parkinson's disease) unless you have an extremely slow metabolism for that drug.


Sent: Friday, September 08, 2017 3:50 AM
Subject: Knee surgery medications--2 questions

I'm age 70. My severe RLS (whole-body jerking due to augmentation) has been OK on 30 mg methadone for 5 years. I'm to have arthroscopic knee surgery in 2 weeks.

1) The orthopod told me to "expect extra pain than most people," because he doesn't prescribe a post-surgery opioid to people already taking one. (My periodiontist said the same about upcoming gum surgery.) What is the reason for this? I'm scared but resigned to the pain. I'm just curious, as I know arguing would be futile.

2) Do some anesthetics interfere with methadone? I don't want to wake up jerking! Should I warn the anesthetist not to give me some specific thing?

Sharon S.

A Medical Reply

The reason for the concern about adding opioids for post operative pain control is that most patients on chronic opioid therapy (especially high doses which is not usually the case for RLS patients) get somewhat tolerant to these medications and then need much higher doses. Therefore, many physicians are afraid to prescribe additional doses as the patients might get into the more toxic ranges of opioid treatment. However, in your case, the methadone dose (which is at the upper end of what most of us experts prescribe for RLS) should cover most of your post operative pain. The addition of Tylenol or ibuprofen usually takes care of the rest of the additional pain.

Anesthetics do not interfere with methadone. However, you may not be able to take oral medication for a while before and after your surgery so may not be covered for your RLS symptoms. They can cover the methadone (until you can take oral medications) with an injection of an opioid such as Demerol.

The more important issue is that anesthesiologists love to give medications that may worsen RLS. Therefore, please give them a copy of the RLS Medical Alert Card (which you can download from our website) as it lists all the drugs to avoid and gives safe alternative choices.
































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The information and advice on RLS given on this web site is for educational purposes only. None of the advice, information or medical treatments should be followed without the supervision of your medical provider. The information presented on this site is not a substitute for your doctor, but should be used to help you discuss your RLS problem with your doctor. Do not undertake RLS medication treatment on your own! Please seek qualified professional medical care to help treat your RLS symptoms.


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Source: Southern California Restless Legs Support Group, Patient Letters and Medical Answers Section, Page 117.
http://www.rlshelp.org/rlscomp117.htm
This web site was last modified on Sunday, September 10, 2017.
Cartoon above was created and drawn by Robert Van Den Berghe.
All material on this web site is Copyright © by the Southern California RLS Support Group, 2014.

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