• Arq Neuropsiquiatr · Jun 2008

    Review

    Anticonvulsants to treat idiopathic restless legs syndrome: systematic review.

    • Cristiane Fiquene Conti, Márcio Moysés de Oliveira, Juliana Spelta Valbuza, Lucila Bizari F Prado, Luciane Bizari Coin de Carvalho, and Gilmar Fernandes do Prado.
    • Department of Emergency Medicine and Evidence Based Medicine, Universidade Federal de São Paulo, SP, Brazil.
    • Arq Neuropsiquiatr. 2008 Jun 1; 66 (2B): 431-5.

    BackgroundRestless legs syndrome (RLS) is a sensory motor disorder characterized by a distressing urge to move the legs and sometimes also other parts of the body usually accompanied by a marked sense of discomfort or pain in the leg or other affected body part. Many treatments have been used to minimize the discomfort of the disease, among them the anticonvulsant therapy.AimThis review aims to evaluate the efficacy and safety of anticonvulsant treatment for idiopathic RLS.MethodSystematic review of randomized or quasi-randomized, double blind trials on anticonvulsant treatment for RLS.Outcomesrelief of RLS symptoms, subjective and objective sleep quality, quality of life, and adverse events associated with the treatments.ResultsA total of 231 patients were randomized in three cross over studies and one parallel study. Three studies with carbamazepine, one with sodium valproate, and one with gabapentin, and they were very heterogeneous so we could not perform a meta-analysis.ConclusionsThere is no scientific evidence on RLS treatment with anticonvulsants for clinical practice.

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