Table 3

Treatment strategies for restless legs syndrome (RLS)

Drugs Dose range Specific issues
Dopaminergic (usually first choice):
 Levodopa DCI100–600 mgRebound/augmentation
Evening or divided dose
 Bromocriptine7.5 mg (divided dose)Poor tolerance
 Pergolide0.1–0.75 mgSingle or two evening doses
 Ropinirole0.5–4 mgdaily/twice daily
 DHEC10–40 mg
 Pramipexole1.5 mgSingle evening dose
 Cabergoline1–4 mgUseful for augmentation
 Apomorphine18–50 mg/12 hOvernight sc infusion
 Amantadine100–400 mg
Other drugs:
 Oxycodon2.5–25 mg
 Propoxyphene100–260 mg
 Clonazepam0.5–2 mg evening doseDrowsiness
 Triazolam0.125/0.25 mg
 Nitrazepam2.5–10 mg
 Carbamazepine100–600 mgSingle/divided doses
 Gabapentin300–2400 mgQuick dose escalation
 Clonidine0.15–0.9 mg
 Baclofen20–80 mgDrowsiness/single dose
Only in iron deficient patients:
 Iron oxide100–200 mg/doseIntravenous
 Iron sulphate200 mg three times dailyOral