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Saudi Journal of Kidney Diseases and Transplantation
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LETTER TO THE EDITOR  
Year : 2016  |  Volume : 27  |  Issue : 3  |  Page : 621
Restless leg syndrome and its treatment


Department of Neurology, Dr. S. N. Medical College, Jodhpur, Rajasthan, India

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Date of Web Publication13-May-2016
 

How to cite this article:
Shubhakaran K. Restless leg syndrome and its treatment. Saudi J Kidney Dis Transpl 2016;27:621

How to cite this URL:
Shubhakaran K. Restless leg syndrome and its treatment. Saudi J Kidney Dis Transpl [serial online] 2016 [cited 2019 Oct 20];27:621. Available from: http://www.sjkdt.org/text.asp?2016/27/3/621/182445
To the Editor,

I read the interesting article by Razazian et al, where the authors have compared gabapentin with levodopa-carbidopa and have found gaba- pentin to be superior to levodopa-carbidopa in patients who were on hemodialysis.[1]As rest- less leg syndrome being a common and an interesting disease entity, one is supposed to follow the new developments. Earlier one study implicated pregabalin as a better drug in patients who were not on hemodialysis.[2]Later on, there was a study that peripheral hypoxia is the main culprit and correction of the same may revert the symptoms.[3]Now, here the authors have found gabapentin as a better drug. Looking into the varied treatment responses in different studies and etiological difference in its causation such as hereditary to iron defi- ciency, uremia, peripheral neuropathy, and central dopaminergic deficiency may be the reason for this diversity. Hence, the treatment of an individual patient must be tailored according to evaluation about this diversity.

 
   References Top

1.
Razazian N, Azimi H, Heidarnejadian J, Afshari D, Ghadami MR. Gabapentin versus levodopa-c for the treatment of restless legs syndrome in hemodialysis patients: A randomized clinical trial. Saudi J Kidney Dis Transpl 2015;26:271-8.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
2.
Allen RP, Chen C, Garcia-Borreguero D, et al. Comparison of pregabalin with pramipexole for restless legs syndrome. N Engl J Med 2014;370:621-31.  Back to cited text no. 2
    
3.
Salminen AV, Rimpilä V, Polo O. Peripheral hypoxia in restless legs syndrome (Willis- Ekbom disease). Neurology 2014;82:1856-61.  Back to cited text no. 3
    

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Correspondence Address:
Dr. Khichar Shubhakaran
Department of Neurology, Dr. S. N. Medical College, Jodhpur, Rajasthan
India
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DOI: 10.4103/1319-2442.182445

PMID: 27215265

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