How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • Go back-and-forth until satisfied
    Rate the answer you receive.
Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 56656
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
Type Your Medical Question Here...
Dr. Arun Phophalia is online now

To night no sleeping I got restlessleg, walking is better

Customer Question

Im Parkinson to night no sleeping I got restlessleg
JA: What seems to make the symptoms worse or better? Have you noticed any swelling?
Customer: walking is better sleep no
JA: Is there anything else the Doctor should know before I connect you? Rest assured that they'll be able to help you.
Customer: l take repnix 12mg Parkinson nurse cut 4mg
Submitted: 10 days ago.
Category: Medical
Customer: replied 10 days ago.
Can I talk to doctor
Customer: replied 10 days ago.
I don’t know why I have restless leg maybe cutting a reined
Expert:  Dr. Arun Phophalia replied 10 days ago.

Rest Leg Syndrome can develop as a result of certain conditions, particularly iron deficiency and peripheral neuropathy. Other causes of RLS are folate or magnesium deficiency, amyloidosis, diabetes mellitus, lumbosacral radiculopathy, or vitamin B-12 deficiency. Following investigations are advised;

1) A complete iron panel including iron levels, ferritin, transferrin saturation, and total iron-binding capacity.
2) BUN,
3) creatinine,
4) magnesium,
5) thyroid-stimulating hormone (TSH),
6) vitamin B-12, and folate.

These investigation results will help to treat the primary problem so symptoms are resolved.

Following measures usually are helpful;

1) Avoidance of caffeine, alcohol, or nicotine (if one takes them).
2) Exercise before the bedtime
3) Medications
a) Pramipexole (Mirapex)
b) Ropinirole hydrochloride (Requip).

Following treatment approaches are recommended if your present medications are not helping (called refractory RLS):

1) Change to gabapentin

2) Adding a second medicine like gabapentin, benzodiazepines, or an opioid

3) Change to a high potency opioid or tramadol

In addition to the above non-pharmacologic therapy comprises the following components:

1) Iron replacement therapy

2) Mental alerting activities such as video games or crossword puzzles, may reduce symptoms at times of boredom.

I wish your symptoms resolve soon.

I would be happy to assist you further if you need any more information.
Thanks for using Just Answer.

Customer: replied 10 days ago.
Restless leg what to do
Expert:  Dr. Arun Phophalia replied 10 days ago.

Were you able to see the answer above? Please let me know.

Customer: replied 10 days ago.
I would like to know cutting 4mg repinx doing that
Customer: replied 10 days ago.
Do you want me to take
Repinx 12mg
Expert:  Dr. Arun Phophalia replied 10 days ago.

Yes, you need 12 mg. Decreasing the dose to 4 mg may be the culprit.