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Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 44379
Experience:  Board Certified Physician
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restless legs are very bad just now please help me with relief

Customer Question

restless legs are very bad just now please help me with relief ideas
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. David replied 2 years ago.

Dr. David :

This is Dr. David

Dr. David :

I am sorry you are having such bad restless leg syndrome.

Dr. David :

I see you have tried gabapentin.

Dr. David :

and Madopar which is levodopa and benserazide

Dr. David :

you should talk to your doctor about other medications to try like requip (ropinirole)

Dr. David :

I have used Sinemet (carbidopa/levodopa) successfully in my patients for restless leg syndrome.

Dr. David :

you should also get your potassium and magnesium levels checked as well.

Dr. David :

low magnesium blood levels can cause cause your nerves not to function correctly

Dr. David :

hello?

Customer:

I have tried (carbidopa/levodopa .Ihave been traveling to hospital for 2yrs and seem to be getting worse.

Dr. David :

I see.

Dr. David :

you need to see a neurologist

Dr. David :

it is thought that restless leg syndrome is a similar condition to parkinsons' disease.

Dr. David :

that is why many parkinsons medications are used to treat restless leg syndrome with good effect.

Dr. David :

talk to your doctor about trying Requip or ropiniole

Dr. David :

and there are other parkinsons medications you can try as well.

Dr. David :

you might need to go up on your dose of medicaiton as well.

Dr. David :

gabapentin typically is not used for restless leg syndrome.

Customer:

I am seeing Dr Kirstie Anderson at the Freeman in Newcastle

Dr. David :

that is good.

Dr. David :

it looks like she is a neurologist, but specializes in sleep disorders.

Dr. David :

you might want to ask her for a referral to see another neurologist who treats more patients who have parkinsons disease and restless leg syndrome.

Dr. David :

what dose of the madopar are you using at this poing?

Dr. David :

point?

Customer:

Would it be alright if I stopped taking gabapentin?

Dr. David :

you should not stop taking it cold turkey.

Dr. David :

you need to slowly taper off of it.

Dr. David :

do you think it is not helping?

Customer:

madopar cr 125mg 2 three times a day.well I think one of them is not working.

Dr. David :

I would bet the neurontin is most likely not helping.

Dr. David :

which is also called gabapentin.

Dr. David :

stay with the madopar

Customer:

gabapentin dosage is 1am 1lunch time 2bedtime

Dr. David :

I see.

Dr. David :

most likely 300mg a pill?

Customer:

yes

Dr. David :

yes, that is the common dose for gabapentin.

Dr. David :

I would talk to your doctor again.

Dr. David :

most likely the gabapentin isn't doing that much for your restless leg syndrome.

Dr. David :

you might need to go up on your madopar dose.

Dr. David :

or try something else for your restless leg

Dr. David :

like requip

Dr. David :

and get your blood magnesium and potassium levels checked.

Dr. David :

good luck to you

Dr. David :

let me know if you have other questions.

Dr. David :

if done, please leave positive feedback below the chat box.

Dr. David :

you might have to scroll down to see the ratings area below.

Dr. David :

you can always reach me as Dr. David if you have other questions.

Dr. David :

http://www.justanswer.com/medical/expert-dr-david/

Dr. David :

is my webpage if you need to reach me again

Dr. David :

thanks for using JustAnswer.com

Customer:

will it get easier once medcation is correct?

Dr. David :

yes, restless leg can get better with the right medications.

Dr. David :

and at the right dose

Dr. David :

you might want to try the sinemet again

Dr. David :

if you haven't increased that dose up to 200mg/2000mg a day

Customer:

Thank you for your help

Dr. David :

you are welcome

Dr. David :

don't forget to leave positive feedback below the chat box

Dr. David :

so I can get credit for helping you today

Dr. David :

thanks for using JustAnswer.com

Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 44379
Experience: Board Certified Physician
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