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Journal ArticleDOI

Treatment of restless legs syndrome: an evidence-based review and implications for clinical practice.

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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 adverse

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Citations
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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

Restless legs syndrome

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).

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
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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

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.
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