Restless legs syndrome (RLS) and mirtazapine

Posted by rw @rwlovell, Jun 30, 2017

Hi,
I recently started mirtazapine and have had a good initial reaction to the drug - my energy is better, my mood. The one rather major problem is it seems to trigger or exacerbate my RLS. I had been on tramadol (for back pain) about a week before starting mirtazapine and I have read that they can interfere with each other and cause RLS. My question is should I look for another antidepressant or is it possible that this will improve with time. Right now I am awake all night until about 5 AM when I catch a few hours of sleep. It is pretty rough.

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Profile picture for rjjb @rjjb

Does anyone take Pramipexole for Restless Legs Syndrome?
I take it, and it helps some. Of course there is no cure for RLS,
but the Pramipexole does help me get some sleep. I've had
this RLS problem for over 30 years, and will probably die with it.
Is anyone out there trying to find a cure for RLS?

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Yes, I, too, have had RLS for way overt 30;years. It started when I was about 20 yo. I’d never heard of it until I had a sleep study in 1996. Since then I’ve taken a mild antidepressant, Trazadone 100 mg. It works I think by calming my mind a bit. If I take on an empty stomach it puts me to sleep. There may be other drugs now.

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Profile picture for rjjb @rjjb

Does anyone take Pramipexole for Restless Legs Syndrome?
I take it, and it helps some. Of course there is no cure for RLS,
but the Pramipexole does help me get some sleep. I've had
this RLS problem for over 30 years, and will probably die with it.
Is anyone out there trying to find a cure for RLS?

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What is pramipexole?

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Profile picture for helent @helent

What is pramipexole?

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Pramipexole is a prescription pill for Restless Legs Syndrome. The same medicine is given to Parkinson's Disease patients, but much bigger doses.

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I think I just found the correlation between my mirtrazapine-tramadol & RLS flare up thanks to your post, will see
what happens when I take some action.
Thanks

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Profile picture for ozzie @ozzie

I think I just found the correlation between my mirtrazapine-tramadol & RLS flare up thanks to your post, will see
what happens when I take some action.
Thanks

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I might add I take 60mg of Mirtazapine which could knock out a horse and I have been awake every night since combination pramipexole and pain med tramadol.
Time to cut the Mirtraz' this is the problem I have come to the realization and I will get my Dr to change out, I don't know how I have been able to get by on 1-2 hrs per nite.
Thanks

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I recently started on Mitropine for depression , I had used Paxil for over 30 years and wanted to try a new class of drugs, I started off on 15 MG but had periods of anxiety , sadness etc, the dose 2as increased to 30 MG, the symptoms of depression and anxiety have really decreased and I feel good on the drug , the only problem being I'm having restless legs now , I can get in to see my doctor until May 27th , is there anything I can do to help until I can get seen , a pharmacist has suggested I don't take the whole pill and try to take just 3/4 of the pill, does this sound like a good idea , is it OK to try tonic water for then quinine temporarily, thanksn

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Profile picture for tim1028 @tim1028

As someone who has RLS, may I offer a couple of suggestions:

There is a national RLS organization, http://www.rls.org which has an abundance of free information. Most PCPs and many neurologists have thin knowledge about RLS and are regrettably often not good resources for treatment. The RLS Foundation has identified 12 Quality Care Centers throughout the U.S. (of course, the wonderful Mayo Clinic in Rochester, MN, my birthplace, is on the list). These centers are the REAL experts on RLS. One of the first lines of approach to RLS treatment is to check the ferritin level to ensure that it is high enough (for RLS it is recommended to aim for a value of 100 or higher), and take supplemental oral iron to increase it as needed. This in itself may alleviate RLS symptoms totally or to a great extent.

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@tim1028
Yes. Ferritin levels are very important! I read that they are realizing that RLS symptoms could be caused by lack of iron in the brain. And say that only a very small percentage of iron reaches the brain.

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Profile picture for catstx @catstx

Yes, I, too, have had RLS for way overt 30;years. It started when I was about 20 yo. I’d never heard of it until I had a sleep study in 1996. Since then I’ve taken a mild antidepressant, Trazadone 100 mg. It works I think by calming my mind a bit. If I take on an empty stomach it puts me to sleep. There may be other drugs now.

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@catstx I have mild RLS. Trazadone has been a Godsend for me for PTSD/insomnia. My ex had horrible RLS and REM sleep disorder which has a strong correlation to Parkinsons. Sleep regulation is so important!

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