Amy B. Werremeyer, PharmD, BCPP
Assistant Professor, Department of Pharmacy Practice
North Dakota State University
College of Pharmacy, Nursing and Allied Sciences
GR is a 57-year-old female who is not sleeping well due to her Restless Legs Syndrome. She reports strong, irresistible urges to move her legs when she is watching TV at night, and these worsen when she lies in bed and tries to fall asleep. She currently takes ropinirole 4mg PO 2 hours before bedtime with some improvement in her symptoms, but she would like an even greater benefit from her medication. She has taken levodopa/carbidopa in the past for her restless legs, but she reported that the symptoms were occurring earlier in the day and were migrating into her arms while she was on it. GR would like to know if there are any additional treatments for her restless legs that may offer additional symptom relief.

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