The Safety and Efficacy of Pregabalin Add-on Therapy in Restless Legs Syndrome Patients

Pregabalin is increasingly being used as a first-line treatment for symptomatic control of restless legs syndrome (RLS). This study aimed to evaluate the efficacy and safety of pregabalin as add-on therapy in RLS patients already taking dopamine agonists (DA) but still in need of further management....

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Autores principales: Hyoeun Bae, Yong Won Cho, Keun Tae Kim, Richard P. Allen, Christopher J. Earley
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Lenguaje:EN
Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/9807968267f44f298608ad9d76652458
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spelling oai:doaj.org-article:9807968267f44f298608ad9d766524582021-12-01T12:48:48ZThe Safety and Efficacy of Pregabalin Add-on Therapy in Restless Legs Syndrome Patients1664-229510.3389/fneur.2021.786408https://doaj.org/article/9807968267f44f298608ad9d766524582021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fneur.2021.786408/fullhttps://doaj.org/toc/1664-2295Pregabalin is increasingly being used as a first-line treatment for symptomatic control of restless legs syndrome (RLS). This study aimed to evaluate the efficacy and safety of pregabalin as add-on therapy in RLS patients already taking dopamine agonists (DA) but still in need of further management. Patients with idiopathic RLS were enrolled, and all had already been prescribed DA for at least 3 months but still had either persistent symptoms, side effects, or comorbid insomnia. An initial dose of 75 mg pregabalin was begun, adjusted as needed, and maintained at a stable dose for 4 weeks, followed by observation for a total of 8 weeks. RLS symptoms and insomnia scores were evaluated before and after add-on pregabalin treatment. Patients were monitored for side effects that could be attributed to pregabalin. A total of 32 RLS patients were enrolled, and 20 subjects remained until the endpoint. After the pregabalin add-on, the mean IRLS score showed significant improvement compared to the baseline (p < 0.001). The insomnia severity index score also improved (p = 0.036), and no serious adverse effects were observed. Our preliminary data suggests the potential for pregabalin as an add-on therapy to DA with regards to both efficacy and safety in patients who have inadequate RLS improvement.Hyoeun BaeYong Won ChoKeun Tae KimRichard P. AllenChristopher J. EarleyFrontiers Media S.A.articlerestless legs syndromepregabalindopamine agoniststreatmentadd-onNeurology. Diseases of the nervous systemRC346-429ENFrontiers in Neurology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic restless legs syndrome
pregabalin
dopamine agonists
treatment
add-on
Neurology. Diseases of the nervous system
RC346-429
spellingShingle restless legs syndrome
pregabalin
dopamine agonists
treatment
add-on
Neurology. Diseases of the nervous system
RC346-429
Hyoeun Bae
Yong Won Cho
Keun Tae Kim
Richard P. Allen
Christopher J. Earley
The Safety and Efficacy of Pregabalin Add-on Therapy in Restless Legs Syndrome Patients
description Pregabalin is increasingly being used as a first-line treatment for symptomatic control of restless legs syndrome (RLS). This study aimed to evaluate the efficacy and safety of pregabalin as add-on therapy in RLS patients already taking dopamine agonists (DA) but still in need of further management. Patients with idiopathic RLS were enrolled, and all had already been prescribed DA for at least 3 months but still had either persistent symptoms, side effects, or comorbid insomnia. An initial dose of 75 mg pregabalin was begun, adjusted as needed, and maintained at a stable dose for 4 weeks, followed by observation for a total of 8 weeks. RLS symptoms and insomnia scores were evaluated before and after add-on pregabalin treatment. Patients were monitored for side effects that could be attributed to pregabalin. A total of 32 RLS patients were enrolled, and 20 subjects remained until the endpoint. After the pregabalin add-on, the mean IRLS score showed significant improvement compared to the baseline (p < 0.001). The insomnia severity index score also improved (p = 0.036), and no serious adverse effects were observed. Our preliminary data suggests the potential for pregabalin as an add-on therapy to DA with regards to both efficacy and safety in patients who have inadequate RLS improvement.
format article
author Hyoeun Bae
Yong Won Cho
Keun Tae Kim
Richard P. Allen
Christopher J. Earley
author_facet Hyoeun Bae
Yong Won Cho
Keun Tae Kim
Richard P. Allen
Christopher J. Earley
author_sort Hyoeun Bae
title The Safety and Efficacy of Pregabalin Add-on Therapy in Restless Legs Syndrome Patients
title_short The Safety and Efficacy of Pregabalin Add-on Therapy in Restless Legs Syndrome Patients
title_full The Safety and Efficacy of Pregabalin Add-on Therapy in Restless Legs Syndrome Patients
title_fullStr The Safety and Efficacy of Pregabalin Add-on Therapy in Restless Legs Syndrome Patients
title_full_unstemmed The Safety and Efficacy of Pregabalin Add-on Therapy in Restless Legs Syndrome Patients
title_sort safety and efficacy of pregabalin add-on therapy in restless legs syndrome patients
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/9807968267f44f298608ad9d76652458
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