HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Having Parkinson S Disease And Restless Leg Syndrome. Got Toe Curling. On Gabapentin. Is This Neuropathy?

I have Parkinsons as well as restless leg syndrome . My movement disorder neurologist suggested a second opinion after I saw a neurologist who diagnosed neuropathy based on symptoms, EMG and exam. The second neurologist said he did not find any neuropathy. I also get toe curling but he said that was just a cramp whenever it happens. Any suggestions? I have tried Gabapentin, 300 mg 3x day but still have symptoms. Thank you. YYYY@YYYY ?
Fri, 22 Nov 2013
Report Abuse
General & Family Physician 's  Response
Hello there!
Thank you for asking. Here are some treatment modalities you can pick from, Remember parkinsons and RLS excacerbates each other. So be watchful and compliant in your medication with a constant touch to neurologist and GP

Here is the treatment option list.

A-Antiparkinson Agents, Dopamine Agonists
Pramipexole (Mirapex, Mirapex ER)
Ropinirole (Requip, Requip XL)
Levodopa with carbidopa (Sinemet, Parcopa)
Bromocriptine mesylate (Parlodel, Cycloset)
Rotigotine (Neupro)

B-Anxiolytics, Benzodiazepines
Clonazepam (Klonopin)

C-Opioid Analgesics
Low Potency( codein)
High potency if refractory to low one.( oxycodone hydrochloride,
methadone hydrochloride, and levorphanol tartrate) care for addiction.

D-Anticonvulsants, Other
Gabapentin Enacarbil (Horizant)
Gabapentin (Neurontin)
Pregabalin (Lyrica)

E-Alpha2-Adrenergic Agonists
Clonidine hydrochloride (Catapres, Kapvay, Nexiclon XR)

F-Iron Salt
Iron sucrose (Venofer) take 325mg iron 60 mins before meal with 250
mg Vitamin C supplements.

G- Herbal Remedy
-Yokukansan
Anecdotal evidence from Japan suggests that yokukansan (an
herbal remedy) is effective in the treatment of RLS

H-Oral corticosteroids
Deltacortil (prednisone)

But you need a close monitoring by your Neurologist for RLS. Mean while see the Psychiatrist for Depressive sympoms. Sign up to Group therapies, vocational and recreational therapies. And I am sure you will feel better.

Take care

regards
Dr S Khan
I find this answer helpful

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Gabapentin


Loading Online Doctors....
Having Parkinson S Disease And Restless Leg Syndrome. Got Toe Curling. On Gabapentin. Is This Neuropathy?

Hello there! Thank you for asking. Here are some treatment modalities you can pick from, Remember parkinsons and RLS excacerbates each other. So be watchful and compliant in your medication with a constant touch to neurologist and GP Here is the treatment option list. A-Antiparkinson Agents, Dopamine Agonists Pramipexole (Mirapex, Mirapex ER) Ropinirole (Requip, Requip XL) Levodopa with carbidopa (Sinemet, Parcopa) Bromocriptine mesylate (Parlodel, Cycloset) Rotigotine (Neupro) B-Anxiolytics, Benzodiazepines Clonazepam (Klonopin) C-Opioid Analgesics Low Potency( codein) High potency if refractory to low one.( oxycodone hydrochloride, methadone hydrochloride, and levorphanol tartrate) care for addiction. D-Anticonvulsants, Other Gabapentin Enacarbil (Horizant) Gabapentin (Neurontin) Pregabalin (Lyrica) E-Alpha2-Adrenergic Agonists Clonidine hydrochloride (Catapres, Kapvay, Nexiclon XR) F-Iron Salt Iron sucrose (Venofer) take 325mg iron 60 mins before meal with 250 mg Vitamin C supplements. G- Herbal Remedy -Yokukansan Anecdotal evidence from Japan suggests that yokukansan (an herbal remedy) is effective in the treatment of RLS H-Oral corticosteroids Deltacortil (prednisone) But you need a close monitoring by your Neurologist for RLS. Mean while see the Psychiatrist for Depressive sympoms. Sign up to Group therapies, vocational and recreational therapies. And I am sure you will feel better. Take care regards Dr S Khan