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Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 46937
Experience:  Board Certified Physician
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I suffer from Restless Leg syndrome. I have recently been particularly

Resolved Question:

I suffer from Restless Leg syndrome. I have recently been particularly "twitchy". I wonder whether this could be because I have stopped taking Tamsulosin and some other supplements (Q10s and multivitamins)?
My reason for stopping these was to allow my RLS medicine (Pramipexole) free reign.
Thanks
Danny Gesua
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. David replied 3 years ago.
Dr. David :

This is Dr. David

Dr. David :

tamsulosin is a flomax

Dr. David :

and is used to help you urinate easier.

Dr. David :

stopping it suddenly can cause you to be twitchy.

Dr. David :

also low potassium can cause this as well.

Dr. David :

does your doctor know you stopped your tamsulosin?

Customer: No. I tried this for the reason I gave in my question.
Dr. David :

stopping the tamsulosin won't help your RLS medication to work better.

Dr. David :

is the Pramipexole helping with the RLS?

Dr. David :

have you tried other medications like Sinement?

Dr. David :

or Requip (ropinirole)

Customer: The Pramixepole has helped but only when I take a double dose, one at around 6.00pm and another at around 9.00pm. This allows me a reasonable night's sleep which was the primary objective.
Customer: i have not tried other medicines
Dr. David :

you can talk to your doctor about the other medications I mentioned for RLS.

Dr. David :

hopefully they can help as well.

Dr. David :

you should be consulting a neurology specialist about your RLS as well

Dr. David :

good luck to you

Dr. David :

do you have any other questions?

Customer: What is the maximum Pramixerole dose. I am taking 4tablets of 0.125mg in total.
Dr. David :

max dose is 0.5mg a day

Dr. David :

give 2-3 hours before bedtime, taper dose gradually to stop.

Customer: ok. Thanks
Dr. David :

you are welcome

Dr. David :

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