Getting moderate, regular exercise may relieve symptoms of RLS, but overdoing it or working out too late in the day may intensify symptoms. Ideally, have a cool, quiet, comfortable sleeping environment go to bed and rise at the same time daily and get at least seven hours of sleep nightly. Fatigue tends to worsen symptoms of RLS, so it's important that you practice good sleep hygiene. Use of heat or cold, or alternating use of the two, may lessen the limb sensations. Soaking in a warm bath and massaging the legs can relax the muscles. Making simple lifestyle changes can help alleviate symptoms of RLS: However, if you need to take these medications, talk to your provider about adding drugs to help manage your RLS. Your provider may recommend that you avoid these drugs, if possible. These include some antidepressants, some antipsychotic medications, some anti-nausea drugs, and some cold and allergy medications. Some medications may worsen symptoms of RLS. However, if the sensations are particularly bothersome during your last trimester, your provider may approve the use of certain drugs. Instead, your provider may recommend self-care techniques to relieve symptoms. Most drugs prescribed to treat RLS aren't recommended during pregnancy. Your provider may substitute another medication to combat the problem. Sometimes dopamine medications that have worked for a while to relieve your RLS become ineffective, or you notice your symptoms returning earlier in the day or involving your arms. It may take several trials for you and your provider to find the right medication or combination of medications that work best for you. Some examples include tramadol (Ultram, ConZip), codeine, oxycodone (Oxycontin, Roxicodone, others) and hydrocodone (Hysingla ER). Narcotic medications are used mainly to relieve severe symptoms, but they may be addicting if used in high doses. These medications are generally only used if no other treatment provides relief. These drugs help you sleep better at night, but they don't eliminate the leg sensations, and they may cause daytime drowsiness. Muscle relaxants and sleep medications.Certain medications, such as gabapentin (Neurontin, Gralise), gabapentin enacarbil (Horizant) and pregabalin (Lyrica), work for some people with RLS. However, they can also cause impulse control disorders, such as compulsive gambling, and daytime sleepiness. Short-term side effects of these medications are usually mild and include nausea, lightheadedness and fatigue. Rotigotine (Neupro) and pramipexole (Mirapex) are approved by the Food and Drug Administration for the treatment of moderate to severe RLS. These medications affect levels of the chemical messenger dopamine in the brain. Medications that increase dopamine in the brain. Several prescription medications, most of which were developed to treat other diseases, are available to reduce the restlessness in the legs. If those aren't effective, your provider might prescribe medications. If you have RLS without an associated condition, treatment focuses on lifestyle changes. However, take iron supplements only with medical supervision and after your provider has checked your blood-iron level. Correcting an iron deficiency may involve receiving iron supplementation orally or intravenously. Sometimes, treating an underlying condition, such as iron deficiency, greatly relieves symptoms of RLS.
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