• Prescrire international · Aug 2010

    Drug-induced restless legs syndrome.

    • Prescrire Int. 2010 Aug 1; 19 (108): 164-5.

    AbstractRestless legs syndrome can be very troublesome but it has no serious physical complications. The underlying causes are unknown, but it can be triggered or aggravated by a drug. In early 2010, about 60 cases of drug-induced restless legs syndrome had been published in detail. The drugs implicated were mainly psychotropics, especially antidepressants and neuroleptics. Some drugs used to treat restless legs syndrome, especially dopaminergic drugs, can in fact aggravate symptoms. Drug-induced restless legs syndrome generally resolves when the dose is reduced or the drug is withdrawn. Dysfunction of the dopaminergic system has been implicated in some cases. In practice, when a patient presents with restless legs syndrome, the role of a drug, especially a psychotropic, should be considered. Drug withdrawal or a dose reduction may be beneficial.

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