Table 1.
- | 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] | - |