Journal ArticleDOI
Treatment of restless legs syndrome: an evidence-based review and implications for clinical practice.
Claudia Trenkwalder,Wayne A. Hening,Pasquale Montagna,Wolfgang H. Oertel,Richard P. Allen,Arthur S. Walters,João Costa,Karin Stiasny-Kolster,Cristina Sampaio +8 more
Reads0
Chats0
TLDR
An evidence‐based review of the medical literature on treatment modalities used to manage patients with RLS found that levodopa, ropinirole, pramipexole, cabergoline, pergolide, and gabapentin are considered efficacious for the treatment of RLS and oral iron is considered investigational; however, its efficacy appears to depend on the iron status of subjects.Abstract:
Only in the last three decades, the restless legs syndrome (RLS) has been examined in randomized controlled trials. The Movement Disorder Society (MDS) commissioned a task force to perform an evidence-based review of the med- ical literature on treatment modalities used to manage patients with RLS. The task force performed a search of the published literature using electronic databases. The therapeu- tic efficacy of each drug was classified as being either effica- cious, likely efficacious, investigational, nonefficacious, or lacking sufficient evidence to classify. Implications for clini- cal practice were generated based on the levels of evidence and particular features of each modality, such as adverseread more
Citations
More filters
Journal ArticleDOI
Ropinirole in the Treatment of Restless Legs Syndrome
TL;DR: Ropinirole is a modern, non-ergoline dopamine agonist which has been widely studied for the treatment of moderate-to-severe primary Restless Legs Syndrome (RLS).
Journal ArticleDOI
Restless legs syndrome: pathophysiology, clinical presentation and management
TL;DR: Iron deficiency must be identified and treated by supplementation, both to improve RLS symptoms and to potentially lower the risk of augmentation.
Journal ArticleDOI
The long-term treatment of restless legs syndrome/Willis-Ekbom disease: evidence-based guidelines and clinical consensus best practice guidance: a report from the International Restless Legs Syndrome Study Group.
Diego Garcia-Borreguero,Ralf Kohnen,Michael H. Silber,John W. Winkelman,John W. Winkelman,Christopher J. Earley,Christopher J. Earley,Birgit Högl,Mauro Manconi,Jacques Montplaisir,Yuichi Inoue,Richard P. Allen,Richard P. Allen +12 more
TL;DR: The use of either a dopamine-receptor agonist or α2δ calcium-channel ligand is recommended as the first-line treatment of RLS/WED for most patients, with the choice of agent dependent on the patient's severity of RLP symptoms, cognitive status, history, and comorbid conditions.
Journal ArticleDOI
Restless legs syndrome
Karl Ekbom,J Ulfberg +1 more
TL;DR: Restless legs syndrome (RLS) is a common neurological sensory-motor disorder that is characterized by intense restlessness and unpleasant creeping sensations deep inside the lower legs as discussed by the authors.
Journal ArticleDOI
Altered brain iron homeostasis and dopaminergic function in Restless Legs Syndrome (Willis-Ekbom Disease).
Christopher J. Earley,James R. Connor,Diego Garcia-Borreguero,Peter Jenner,John W. Winkelman,Phyllis C. Zee,Richard P. Allen +6 more
TL;DR: The results of animal models of RLS and biochemical, postmortem, and imaging studies in patients with the disease suggest that disruptions in brain iron trafficking lead to disturbances in striatal dopamine neurotransmission for at least some patients with RLS.
References
More filters
Book
Evidence-Based Medicine: How to Practice and Teach EBM
TL;DR: This chapter discusses how to ask clinical questions you can answer and critically assess the evidence for evidence-based medicine, as well as 7 Rapid Reference Cards used in clinical practice.
Journal ArticleDOI
Restless legs syndrome: diagnostic criteria, special considerations, and epidemiology. A report from the restless legs syndrome diagnosis and epidemiology workshop at the National Institutes of Health.
Richard P. Allen,Daniel L. Picchietti,Wayne A. Hening,Claudia Trenkwalder,Arthur S. Walters,Jacques Montplaisi +5 more
TL;DR: Modification of the criteria for the diagnosis of restless legs syndrome is modified to better reflect that increased body of knowledge, as well as to clarify slight confusion with the wording of the original criteria.
Journal ArticleDOI
Systematic Reviews: Identifying relevant studies for systematic reviews
TL;DR: Although the indexing terms available for searching Medline for randomised clinical trials have improved, sensitivity still remains unsatisfactory.
Journal ArticleDOI
Valvular heart disease and the use of dopamine agonists for Parkinson's disease.
TL;DR: The frequency of clinically important valve regurgitation was significantly increased in Patients taking pergolide or cabergoline, but not in patients taking non-ergot-derived dopamine agonists, as compared with control subjects.
Related Papers (5)
Validation of the International Restless Legs Syndrome Study Group rating scale for restless legs syndrome
Jun Horiguchi,Magdolna Hornyak,Ulrich Voderholzer,Meir H. Kryger,Robert Skomrow,Joseph F. Lipinski,Ahmed Masood,Barbara Phillips,Wolfgang H. Oertel,K. Stiasny,Shaun T. O'Keeffe,Alessandro Oldani,Marco Zucconi,William G. Ondo,Daniel L. Picchietti,J. Steven Poceta,Gerald B. Rich,Larry Scrima,Renata Shafor,Denise Sharon,Michael H. Silber,Robert C. Smith,Claudia Trenkwalder,Claudia Trenkwalder,Thomas C. Wetter,Juliane Winkelmann,Zeba Vanek,Mary L. Wagner,Arthur S. Walters +28 more
Genome-wide association study of restless legs syndrome identifies common variants in three genomic regions
Juliane Winkelmann,Barbara Schormair,Peter Lichtner,Stephan Ripke,Lan Xiong,Shapour Jalilzadeh,Stephany Fulda,Benno Pütz,Gertrud Eckstein,Stephanie Hauk,Claudia Trenkwalder,Alexander Zimprich,Karin Stiasny-Kolster,Wolfgang H. Oertel,Cornelius G. Bachmann,Walter Paulus,Ines Peglau,Ilonka Eisensehr,Jacques Montplaisir,Gustavo Turecki,Guy A. Rouleau,Christian Gieger,Thomas Illig,H-Erich Wichmann,Florian Holsboer,Bertram Müller-Myhsok,Thomas Meitinger +26 more