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. 2021 Mar;19(3):372–382. doi: 10.2174/1570159X19666201230150127

Table 1.

Dopaminergic drugs for the treatment of RLS.

- Longest Study Period (N) Effective Daily Dose Adverse Effects Clinical Benefits Mechanism of Action
Levodopa 30 weeks [7]
(N=361)
<200 mg
[6, 7]
Augmentation, symptom rebound in the early morning [36] Improves nighttime RLS symptoms; reduces pain; well tolerated by controlling augmentation [7] Unknown; may alter motor neuron excitability by reducing inhibition [43]
Dopamine agonists Unknown; may counteract corticostriatal hypersensitivity or alter D2/3 receptor activation [42]
Pramipexole 52 weeks
(N=719) [13]
0.25, 0.50, 0.75 mg [8] Augmentation, dizziness, somnolence, headache, nausea, abdominal discomfort [13] Improves nighttime RLS symptoms and subjective nighttime sleep; pain reduction; well tolerated by controlling augmentation [13] -
Ropinirole 26 weeks
(N=404) [37]
0.78-4 mg [8] Augmentation, nausea, dizziness, headache, daytime somnolence [37] Improves nighttime RLS symptoms and subjective nighttime sleep; reduces pain; well tolerated by controlling augmentation [37] -
Rotigotine 24 weeks
(N=505) [38]
2-3 mg [8] Skin reactions, nausea, augmentation [38] Improve nighttime RLS symptoms and subjective nighttime sleep; reduces pain; well tolerated by controlling augmentation and skin reactions [38] -