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Asking for Self, Male, 38 years old, Karachi
having severe RLS issues while trying to sleep, m an anxiety patient, taking revotril 1mg before sleeping since last 6+ months, but having the RLS issue since last few nights
thanks for query.have i stopped taking tab rivotril or still using this tablet?
take cap Hilin 75 mg at night before sleep for 1 month.stay home, stay safe
https://www.marham.pk/doctors/karachi/general-practitioner/dr-syed-wajahat-ali
Thanks for your querry. A detailed history is required as there can be many causes of RLS. Since when is she having restless legs? any pain or burning in feet ? increases thirst or urge to urinate? If she hangs her legs to one side of the bed, does it get better ? if she gets up and roam about in the room does it get better ? weight ? family history of neurological diseases and RLS ? Plz answer these and a few more questions to know more about ur sisters problem. Hope this helps, stay home and stay safe.
Patient
Post Owner
M a male not female, having RLS since last 5-6 years but rarely, no pain or burning on feet, thirst and urinate is normal, by hanging my legs i feel good, if i get up and roam around the room it feels better, weight is 52 kg only, my parents also have the same problem.
4 years ago
Kindly get a serum b12 ,cbc and tsh done.review online consultation is advised by appointment on marham at 8pm with above reports.
Sensations that begin after rest. The sensation typically begins after you've been lying down or sitting for an extended time, such as in a car, airplane or movie theater.
Relief with movement. The sensation of RLS lessens with movement, such as stretching, jiggling your legs, pacing or walking.
Worsening of symptoms in the evening. Symptoms occur mainly at night.
Nighttime leg twitching. RLS may be associated with another, more common condition called periodic limb movement of sleep, which causes your legs to twitch and kick, possibly throughout the night, while you sleep.
Peripheral neuropathy. This damage to the nerves in your hands and feet is sometimes due to chronic diseases such as diabetes and alcoholism.
Iron deficiency. Even without anemia, iron deficiency can cause or worsen RLS.
Kidney failure.
Spinal cord conditions. Lesions on the spinal cord as a result of damage or injury have been linked to RLS. Having had anesthesia to the spinal cord, such as a spinal block, also increases the risk of developing RLS.
Must test. Ferritin. Other test. Creatinine B12 level TSH HbA1C
Medications that increase dopamine in the brain. These medications affect levels of the chemical messenger dopamine in your brain. Ropinirole (Requip), rotigotine (Neupro) and pramipexole (Mirapex) are approved by the Food and Drug Administration for the treatment of moderate to severe RLS.
Short-term side effects of these medications are usually mild and include nausea, lightheadedness and fatigue. However, they can also cause impulse control disorders, such as compulsive gambling, and daytime sleepiness.
Drugs affecting calcium channels. Certain medications, such as gabapentin (Neurontin, Gralise), gabapentin enacarbil (Horizant) and pregabalin (Lyrica), work for some people with RLS.
Opioids. Narcotic medications can relieve mild to severe symptoms, but they may be addicting if used in high doses. Some examples include tramadol (Ultram, ConZip), codeine, oxycodone (Oxycontin, Roxicodone, others) and hydrocodone (Hysingla ER, Zohydro ER).
Muscle relaxants and sleep medications. These drugs help you sleep better at night, but they don't eliminate the leg sensations, and they may cause daytime drowsiness. These medications are generally only used if no other treatment provides relief.
Making simple lifestyle changes can help alleviate symptoms of RLS:
Try baths and massages. Soaking in a warm bath and massaging your legs can relax your muscles.
Apply warm or cool packs. Use of heat or cold, or alternating use of the two, may lessen your limb sensations.
Establish good sleep hygiene. Fatigue tends to worsen symptoms of RLS, so it's important that you practice good sleep hygiene. Ideally, have a cool, quiet, comfortable sleeping environment; go to bed and rise at the same time daily; and get at least seven hours of sleep nightly.
Exercise. Getting moderate, regular exercise may relieve symptoms of RLS, but overdoing it or working out too late in the day may intensify symptoms.
Avoid caffeine. Sometimes cutting back on caffeine may help restless legs. Try to avoid caffeine-containing products, including chocolate, coffee, tea and soft drinks, for a few weeks to see if this helps.
Consider using a foot wrap. A foot wrap specially designed for people with RLS puts pressure under your foot and may help relieve your symptoms
cap Lyta 20mg once daily
Patient
Post Owner
@Dr. Sehrish Naz
M still taking tab revotril, should i stop taking that?
4 years ago