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Suggest Dosage For Requip XL

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Posted on Fri, 5 May 2017
Question: HI there I started the Neupro patch last Friday for my RLS and I am struggling today. I put 2 4mg patches on and I am still a mess. I was previously on Requip XL ER 8 mg and a 2 mg for night time. Any suggestions?
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Answered by Dr. Dr. U N Sahoo (8 hours later)
Brief Answer:
RLS

Detailed Answer:
Hi,

Thanks for your question on HCM

I do understand your pain and discomforts

As per your clinical history is concerned let me clarify your doubts first-:

1)Doctor has advised you NEUPRO patch and it contains ROTIGOTINE and its dose is 1 mg/24 hours which can be increased 1 mg over week up to 3 mg per day maximum.

2)The medication Requip XL ER is given as right dose.

3)you want to know whether you can combine these two class of drugs or not in my opinion you can combine and there is no interaction is found in both cases.so for it you can discuss with you treating doctor first.

4)you can also discuss about gabapentin, pregabalin, oxycodone, benzodiazepines, clonazepam, temazepam etc

your doctor after several trials will find right combination for you and which may take some times as well.

You can also try few practical advise as below-:

1)soaking your leg in a warm bath and massaging

2)use of heat or cold, or alternating use of the two may lessen your limb sensations. Fill one bucket with cold water and another with bearable hot water.

Put your feet in the hot water for three minutes. Then dip them in cold water for 10 to 60 seconds. Repeat two or three times. Follow this remedy twice daily for effective results.

3)Try relaxation techniques, such as meditation or yoga

4)Try to establish a good sleep hygiene

5)Make an exercise plan to do it at least 30 minutes per day

6)Avoid tea and coffee at bed time

7)Gently rub a small amount of apple cider vinegar on your legs before going to bed each night.or Gently rub a small amount of camphor oil on your legs before going to bed. Within minutes, the tingling sensation in your legs will go away. Do this daily.



Hope that helps
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Dr. U N Sahoo

General & Family Physician

Practicing since :1969

Answered : 2462 Questions

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Suggest Dosage For Requip XL

Brief Answer: RLS Detailed Answer: Hi, Thanks for your question on HCM I do understand your pain and discomforts As per your clinical history is concerned let me clarify your doubts first-: 1)Doctor has advised you NEUPRO patch and it contains ROTIGOTINE and its dose is 1 mg/24 hours which can be increased 1 mg over week up to 3 mg per day maximum. 2)The medication Requip XL ER is given as right dose. 3)you want to know whether you can combine these two class of drugs or not in my opinion you can combine and there is no interaction is found in both cases.so for it you can discuss with you treating doctor first. 4)you can also discuss about gabapentin, pregabalin, oxycodone, benzodiazepines, clonazepam, temazepam etc your doctor after several trials will find right combination for you and which may take some times as well. You can also try few practical advise as below-: 1)soaking your leg in a warm bath and massaging 2)use of heat or cold, or alternating use of the two may lessen your limb sensations. Fill one bucket with cold water and another with bearable hot water. Put your feet in the hot water for three minutes. Then dip them in cold water for 10 to 60 seconds. Repeat two or three times. Follow this remedy twice daily for effective results. 3)Try relaxation techniques, such as meditation or yoga 4)Try to establish a good sleep hygiene 5)Make an exercise plan to do it at least 30 minutes per day 6)Avoid tea and coffee at bed time 7)Gently rub a small amount of apple cider vinegar on your legs before going to bed each night.or Gently rub a small amount of camphor oil on your legs before going to bed. Within minutes, the tingling sensation in your legs will go away. Do this daily. Hope that helps