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Author Topic: Restless Legs Syndrome (RLS)  (Read 3852 times)
totosidney
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« on: June 12, 2010, 01:20:37 PM »

I changed Nephrologist and was lucky to get a very smart one. One of my ongoing problems was trouble sleeping because of violent twitches during the night. As an extreme example: a few times my knee hit my chin! I figured this was nerve damage from many years of dialysis. My new Nephrologist thought that the problem was basically Restless Legs Syndrome (RLS). He prescribed Carbidopa-Levodopa 25-100 (also known as Sinmet 25-100) taken twice a day. This drug totally fixed the problem. Great! Sleep is wonderful.
 
However, there soon appeared a side effect. I would call it “Night Terrors”, terrible and disturbing dreams. The doctor added another drug, Clonazepam, which I take just before going to bed. That fixed the “Night Terrors”. I now sleep beautifully and don’t seem to have any side effects (except perhaps loss of libido which is hard to pin on this drug in my case). It seems I now have an addiction to Clonazepam, which is expected. When I miss a dose I get thoughts of suicide. I quickly recognize this side effect and take the pill.
 
Of course this is NOT a recommendation. I present this information just as information that may be useful to you and your doctor together. Both Carbidopa-Levodopa and Clonazepam are somewhat dangerous drugs with a host of possible side-effects.   
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Rerun
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« Reply #1 on: June 12, 2010, 01:55:59 PM »

Thank you.  Good information.

         :thumbup;
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natnnnat
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« Reply #2 on: June 12, 2010, 07:03:59 PM »

For a start, I'm impressed that you are able to kick yourself in the chin with your knee.  I couldn't do that! 
My DH had restless leg for about a month post transplant, then it settle down by itself.  But I don't think it was a restless as yours. 
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Natalya – Sydney, Australia
wife of Gregory, who is the kidney patient: 
1986: kidney failure at 19 years old, cause unknown
PD for a year, in-centre haemo for 4 years
Transplant 1 lasted 21 years (Lucy: 1991 - 2012), failed due to Transplant glomerulopathy
5 weeks Haemo 2012
Transplant 2 (Maggie) installed Feb 13, 2013, returned to work June 17, 2013 average crea was 130, now is 140.
Infections in June / July, hospital 1-4 Aug for infections.

Over the years:  skin cancer; thyroidectomy, pneumonia; CMV; BK; 14 surgeries
Generally glossy and happy.

2009 - 2013 PhD research student : How people make sense of renal failure in online discussion boards
Submitted February 2013 :: Graduated Sep 2013.   http://godbold.name/experiencingdialysis/
Heartfelt thanks to IHD, KK and ADB for your generosity and support.
sullidog
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« Reply #3 on: June 13, 2010, 05:05:30 PM »

I am on Clonazepam as needed so not on a regular dosage schedule and never had that problem thankfully. I'm on 1 mg
Troy
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May 13, 2009, went to urgent care with shortness of breath
May 19, 2009, went to doctor for severe nausea
May 20, 2009, admited to hospital for kidney failure
May 20, 2009, started dialysis with a groin cath
May 25, 2009, permacath was placed
august 24, 2009, was suppose to have access placement but instead was admited to hospital for low potassium
august 25, 2009, access placement
January 16, 2010 thrombectomy was done on access
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« Reply #4 on: June 14, 2010, 12:12:57 PM »

I take clonazepam too and have no problems , so maybe the thoughts of suicide are not related after all ?
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OH NO!!! I have Furniture Disease as well ! My chest has dropped into my drawers !
totosidney
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« Reply #5 on: June 14, 2010, 12:24:42 PM »

I take clonazepam too and have no problems , so maybe the thoughts of suicide are not related after all ?

It is not from taking the drug! I am quite sure the effect is from when I FORGET to take the drug, ie a withdrawal effect. Indicated Withdrawal-related effects: Anxiety, irritability, insomnia, Panic attacks, tremor, Seizures similar to delirium tremens (with long-term use of excessive doses). These effects vary from person to person.
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