Opiates/Narcotics
These medications are very helpful for treating RLS.
but patients can get addicted / tolerance
generally does not happen if the medications are used to just blunt the majority of the RLS symptoms,
Intermittent use and drug holidays.
Constipation, Nausea can also be a significant problem
Added aspirin and paracetamol have no effect on RLS,
Tramadol
can be very effective for treating RLS
Eg for drug holidays from narcotics
no cross tolerance has developed. aggravation of seizures in patients with a history of fits
Stillnox(Zolpidem)
unique in sedative pills as it does not alter the sleep stages.
no reported tolerance or withdrawal problems with long term usage.
no problems with rebound insomnia
doses greater than 10 mg are no more effective
very quick onset of action - less than 30 minutes
- daytime sleepiness is extremely unusual.
Imovane (Zopiclone)
a short-acting hypnotic agent.
Side effects are similar to the shorter acting benzodiazepines, tolerance/addiction should be less common.
7.5 mg tablets. Older patients should start at 1/2 tablet.