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Hello Doctor, I Want To Know In Your Clinical Practice

Posted on Sun, 29 Jan 2023

Question: Hello doctor, I want to know in your clinical practice if someone having idiopathic RLS comes to you and he/she also suffer from anxiety disorder so what anxiety meds. do you generally prescribe? because as far in my case i have tried taking different SSRI/SNRI meds. in past and all of them aggravates my RLS symptoms, technically all serotonin acting drugs makes it worse due to which i am not able to take anxiety treatment. The leftover options doctor suggest to me are all benzo drugs which is not an daily or long term option. so i don't wanna rely on those. I am only taking gabapentin to control RLS.

Answered by Dr. Sudhir Kumar (92 days later)

Brief Answer:
You could try pregabalin.

Detailed Answer:
Thank you for posting your query. Sorry for the late reply.

I have seen patients get better with pregabalin- it has beneficial effects on RLS as well as anxiety. This can be added to ropinirole or pramipexole.

Best wishes,

Dr Sudhir Kumar MD DM XXXXXXX Consultant Neurologist

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Sudhir Kumar (55 minutes later)

Thanks doctor, which variant should be more effective in this case , immediate release or extended/prolonged release one ? as i have seen pregabalin is available in both types & i understand that extended release is once daily. I don't wanna feel sleepy due to that and as for my anxiety symptom is more concerned with increased heartbeats upon specific thoughts or situations not panic per se.