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What Causes Persistent Leg Pain While Treating Restless Leg Syndrome?

Posted on Wed, 4 Jan 2017

Question: I have Primary Lateral Sclerosis as well as Restless leg syndom. Am taking Zanaflex 40 mg and gabapentin 600mg 4 times a day. My legs are in a lot of pain the last few nights. These meds are not helping right now. Any sugggestions PLEASE

Medical History: Primary Lateral sclerosis since 1992. Hysterectomy in 1973 colds and some internal bleed that they cant find.

High blood pressure med and heart burn meds

Answered by Dr. Ajay Panwar (2 hours later)

Brief Answer:
Zanaflex 40 mg or 4 mg?

Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist, here to answer your query.

I think you have mistakenly written Zanaflex 40 mg.Is it 4 mg?If its 4 mg, then dose can be increased still further.
For Restless leg syndrome, other medicines like Dopaminergic agonists(Pramipexole,Ropinirole) Benzodiazepines(Clonazepam) and Iron(if deficient) may be of help and can be tried.

I shall be glad to have you in follow-up with further details.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajay Panwar (1 hour later)

It is 4 mg zanaflex. Was mistakenly not administered when I was in the hospital with pnemonia. That was a horror story. I couldnt be moved or touched without screaming pain. a neurologist finally came in and noted that the zanaflex had not been given to me for over a week. Once that hospital started giving it to me I was sent home in a day and half without the screaming pain. I don't trust hospitals and very few doctors anymore.
I will ask my neurologist about some of these other meds or increasing the zanaflex. I am so tired right now. Havn't been able to sleep again tonight.

Answered by Dr. Ajay Panwar (3 hours later)

Brief Answer:
Of course, Zanaflex dose can be increased.

Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.

Zanaflex dose can be increased further.Please discuss with your neurologist regarding the same and if he wants to put you up on some alternative medicine for RLS, as I mentioned above.

Hope that helps.If you have a question anytime in future,I shall be glad to have you in follow-up.

For now,If you don't have any further questions,please close the thread and write a review.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar