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Having Parkinson S Disease And Restless Leg Syndrome. Got Toe Curling. On Gabapentin. Is This Neuropathy?
I have Parkinsons as well as restless leg syndrome . My movement disorder neurologist suggested a second opinion after I saw a neurologist who diagnosed neuropathy based on symptoms, EMG and exam. The second neurologist said he did not find any neuropathy. I also get toe curling but he said that was just a cramp whenever it happens. Any suggestions? I have tried Gabapentin, 300 mg 3x day but still have symptoms. Thank you. YYYY@YYYY ?
posted on
Fri, 1 Nov 2013
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Thu, 21 Nov 2013
Answered on
Fri, 22 Nov 2013
Last reviewed on
Hello there!
Thank you for asking. Here are some treatment modalities you can pick from, Remember parkinsons and RLS excacerbates each other. So be watchful and compliant in your medication with a constant touch to neurologist and GP
Here is the treatment option list.
A-Antiparkinson Agents, Dopamine Agonists
Pramipexole (Mirapex, Mirapex ER)
Ropinirole (Requip, Requip XL)
Levodopa with carbidopa (Sinemet, Parcopa)
Bromocriptine mesylate (Parlodel, Cycloset)
Rotigotine (Neupro)
B-Anxiolytics, Benzodiazepines
Clonazepam (Klonopin)
C-Opioid Analgesics
Low Potency( codein)
High potency if refractory to low one.( oxycodone hydrochloride,
methadone hydrochloride, and levorphanol tartrate) care for addiction.
D-Anticonvulsants, Other
Gabapentin Enacarbil (Horizant)
Gabapentin (Neurontin)
Pregabalin (Lyrica)
E-Alpha2-Adrenergic Agonists
Clonidine hydrochloride (Catapres, Kapvay, Nexiclon XR)
F-Iron Salt
Iron sucrose (Venofer) take 325mg iron 60 mins before meal with 250
mg Vitamin C supplements.
G- Herbal Remedy
-Yokukansan
Anecdotal evidence from Japan suggests that yokukansan (an
herbal remedy) is effective in the treatment of RLS
H-Oral corticosteroids
Deltacortil (prednisone)
But you need a close monitoring by your Neurologist for RLS. Mean while see the Psychiatrist for Depressive sympoms. Sign up to Group therapies, vocational and recreational therapies. And I am sure you will feel better.
Take care
regards
Dr S Khan
Thank you for asking. Here are some treatment modalities you can pick from, Remember parkinsons and RLS excacerbates each other. So be watchful and compliant in your medication with a constant touch to neurologist and GP
Here is the treatment option list.
A-Antiparkinson Agents, Dopamine Agonists
Pramipexole (Mirapex, Mirapex ER)
Ropinirole (Requip, Requip XL)
Levodopa with carbidopa (Sinemet, Parcopa)
Bromocriptine mesylate (Parlodel, Cycloset)
Rotigotine (Neupro)
B-Anxiolytics, Benzodiazepines
Clonazepam (Klonopin)
C-Opioid Analgesics
Low Potency( codein)
High potency if refractory to low one.( oxycodone hydrochloride,
methadone hydrochloride, and levorphanol tartrate) care for addiction.
D-Anticonvulsants, Other
Gabapentin Enacarbil (Horizant)
Gabapentin (Neurontin)
Pregabalin (Lyrica)
E-Alpha2-Adrenergic Agonists
Clonidine hydrochloride (Catapres, Kapvay, Nexiclon XR)
F-Iron Salt
Iron sucrose (Venofer) take 325mg iron 60 mins before meal with 250
mg Vitamin C supplements.
G- Herbal Remedy
-Yokukansan
Anecdotal evidence from Japan suggests that yokukansan (an
herbal remedy) is effective in the treatment of RLS
H-Oral corticosteroids
Deltacortil (prednisone)
But you need a close monitoring by your Neurologist for RLS. Mean while see the Psychiatrist for Depressive sympoms. Sign up to Group therapies, vocational and recreational therapies. And I am sure you will feel better.
Take care
regards
Dr S Khan
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