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Vol. 48, No. 2, 2003
Issue release date: September 2003
Section title: Pharmacopsychiatry. Editor: B. Saletu (Vienna). Original Paper
Neuropsychobiology 2003;48:82–86
(DOI:10.1159/000072882)

Gabapentin versus Ropinirole in the Treatment of Idiopathic Restless Legs Syndrome

Happe S. · Sauter C. · Klösch G. · Saletu B. · Zeitlhofer J.
Departments of aClinical Neurology and bPsychiatry, University of Vienna, Vienna, Austria; cDepartment of Clinical Neurophysiology, University of Göttingen, Göttingen, Germany

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Article / Publication Details

First-Page Preview
Abstract of Pharmacopsychiatry. Editor: B. Saletu (Vienna). Original Paper

Published online: 9/26/2003

Number of Print Pages: 5
Number of Figures: 0
Number of Tables: 2

ISSN: 0302-282X (Print)
eISSN: 1423-0224 (Online)

For additional information: http://www.karger.com/NPS

Abstract

Dopaminergic agents such as ropinirole are the drugs of first choice in treating restless legs syndrome (RLS). Recently, gabapentin, a structural analogue of γ-aminobutyric acid, has also been shown to improve sensorimotor symptoms in RLS. Therefore, the tolerability and efficacy of randomized treatment with either gabapentin or ropinirole in patients with idiopathic RLS was evaluated in this 4-week open clinical trial. Patients with idiopathic RLS were treated with either 300 mg of gabapentin (n = 8) or 0.5 mg of ropinirole (n = 8) as the initial dose, and the dose was up-titrated until relief of symptoms was achieved (gabapentin mean dosage 800 ± 397 mg, range 300–1,200 mg; ropinirole mean dosage 0.78 ± 0.47 mg, range 0.25–1.50 mg). In both groups, International Restless Legs Syndrome Study Group questionnaire scores improved significantly (p ≤ 0.018), whereas the scores of the Epworth sleepiness scale remained unchanged within normal limits. Polysomnographic data showed a reduction of periodic leg movements during sleep (PLMS; p < 0.03) and PLMS index (p < 0.02) in both groups. Side effects were only mild and mostly transient. After 6–10 months of follow-up, in most patients, RLS symptoms were still improved. We conclude that gabapentin and ropinirole provide a similarly well-tolerated and effective treatment of PLMS and sensorimotor symptoms in patients with idiopathic RLS.


Article / Publication Details

First-Page Preview
Abstract of Pharmacopsychiatry. Editor: B. Saletu (Vienna). Original Paper

Published online: 9/26/2003

Number of Print Pages: 5
Number of Figures: 0
Number of Tables: 2

ISSN: 0302-282X (Print)
eISSN: 1423-0224 (Online)

For additional information: http://www.karger.com/NPS


Copyright / Drug Dosage

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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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