Table 2.
Recommended Dose | Benefits | Side Effects | |
---|---|---|---|
Levodopa | 200-300mg [80] | improve nighttime RLS symptoms; improve overnight motor and non-motor symptoms; reduce pain | aggravate RLS; symptoms rebound in the morning; dyskinesia |
Dopaminergic agonists | |||
Pramipexole | 0.375- 4.5 mg [74] | improve nighttime RLS symptoms; improve overnight motor and non-motor symptoms; reduce pain | visual hallucinations; daytime somnolence; sudden sleep attack; fatigue; nausea; ICD; orthostatic hypotension; edema |
Ropinirole | 0.25-4.0mg [81] | improve nighttime RLS symptoms; improve overnight motor and non-motor symptoms | aggravate RLS; dyskinesia; headache; dizziness; daytime somnolence; nausea; leg edema |
Rotigotine | 2-16mg [82] | improve nighttime RLS symptoms; improve overnight and early morning motor performance; reduce nocturia | local site reactions; dyskinesias; headache; dizziness; daytime somnolence; fatigue; nausea |
α2δ ligands | |||
Gabapentin | 800 mg (100 mg for patients >65 years initial daily dose) (200 mg for patients with uraemia) [56, 83] |
improve nighttime RLS symptoms; reduce pain | dizziness; daytime somnolence; peripheral edema |
Pregabalin | 150-450 mg (50 mg for patients >65 years initial daily dose) [56, 83] |
improve nighttime RLS symptoms;improve subjective nighttime sleep; reduce pain | dizziness; daytime somnolence; headache; fatigue |
Gabapentin enacarbil | 600-1200 mg (300 mg for patients >65 years initial daily dose) [56, 83] |
improve nighttime RLS symptoms; reduce pain | daytime somnolence; headache; fatigue |
Others | |||
Apomorphine | 18- 48 mg [84] | improve nighttime RLS symptoms; reduce pain and spasm | rebound morning stiffness; subcutaneous nodules |