In what clinical scenarios do you utilize opioids in patients with restless leg syndrome?
Answer from: at Academic Institution
I would say in refractory RLS. I.e., the patient has failed all the options below:
Iron supplementation if ferritin <50,
Gabapentin/pregabalin,
Dopamine agonists, and
Non-pharmacological options (like the vibrating pad).
* I don't love carbidopa/levodopa for RLS. It very often causes aug...