Table 1.

Summary of treatments considered or trialed in our patient.

Treatment	Dose	Result
Baclofen	30 mg daily	Effective, decreasing episodes from 15–20 to 1–6 nightly, but caused excess somnolence
Pelvic physiotherapy	Consistently for 6 months	Ineffective
Imipramine	80 mg daily	Helped return to sleep, but still symptoms to some degree
Clonazepam	0.25 mg nightly	Helped return to sleep, but still symptoms to some degree
Tadalafil	5 mg nightly	Ineffective
Cinitapride	—	Unable to attain in the United States
Oxycodone	5 mg daily	Treated for 5 hours per night, but only took temporarily for postoperative pain
Morphine sulfate extended release	10 mg daily	Effective for 1–2 weeks, then symptoms returned
Vitamin B	Self-trialed, unclear dose	Ineffective
Iron	Self-trialed, unclear dose	Ineffective
Selenium	Self-trialed, unclear dose	Ineffective
Sodium oxybate	2.75 g twice nightly up to 3 g three times nightly	Effectively treated, allowing him to sleep 7.5 to 9 hours without symptoms