← Return to RLS coming off DA and trazadone-sleep issues

Discussion
kodi avatar

RLS coming off DA and trazadone-sleep issues

Sleep Health | Last Active: Mar 17 11:16pm | Replies (15)

Comment receiving replies
Profile picture for vetrice @vetrice

I need to see a doctor for my RLS. Is a neurologist who I should see first?
And what is “augmentation” mentioned here in comments?

Jump to this post


Replies to "I need to see a doctor for my RLS. Is a neurologist who I should see..."

@vetrice yes a Neurologist will help you.
It appears to be genetic in my family and I take medication to ease the absolutely horrible condition that it is.

@vetrice
Hi vertice, The good new is RLS can be effectively and safely treated. The bad news is that most doctors, unfortunately, still believe that dopamine agonist medications are the right treatment. These drugs cause augmentation (a worsening of RLS symptoms PLUS the possibility to other dopamine-related problems--bad problems--horrible problems). Those drugs work wonderfully--so effectively--at first. But, they can lead (my expert RLS doctor says WILL lead) to severe and difficult to treat problems in the future in the form of augmentation. My suggestion is to read about RLS at the RLS Foundation website. https://www.rls.org/diagnosis-treatment? Read about augmentation. Read their entire website. Educate yourself on RLS. I was lucky because I read about augmentation before my appointment with my primary doctor so I refused the Requip she wanted to prescribe. I found a RLS specialist (a neurologist who specializes in RLS treatment) and he has my RLS well-controlled. RLS seems to have a number of variations. Some is genetic. Some isn't. Some, but not all, has to do with iron deficiency specifically in the brain. My doctor tried a few different medications before one worked well for me. The RLS Foundation has a click-on about "finding a doctor." I suggest you be careful about who you see--be sure it is someone well-versed in treating RLS. You do not want to run the risk of augmentation by seeing a doctor who hasn't kept up with the 2025 RLS Treatment Guidelines. There are experts--all over the country. This is not a case of all doctors will treat you equally well. As I said, most still believe dopamine agonist drugs are the right initial treatment. It is worth the effort to find the right doctor. Let us know how things are working for you. It was so wonderful for me when I no longer had RLS waking me and keeping me awake each and every night. I hope you find the same relief.