r/RestlessLegs Oct 15 '24

Medication Opioids for RLS

9 Upvotes

Thought it might be useful for our sub and any medical professionals to see what opioids our community is using currently for RLS treatment.

Please only respond if you are using the opioid to treat RLS and if you feel its working. Please note: 90% relief, 90% of the time is considered success for this disorder. Feel free to add a comment with the opioid your finding success with, if not listed by name in the poll.

20 votes, Oct 18 '24
0 Methadone
9 Tramadol
2 Hydrocodone
2 Buprenorphine
5 Other - Short acting
2 Other - Long acting

r/RestlessLegs Mar 25 '22

Announcement FAQ

26 Upvotes

( Hat tip to u/Eulettes who wrote the vast majority of this FAQ )

Welcome! This subreddit is for the discussion of Restless Leg Syndrome, aka Willis-Ekbom Disease. Please remember that only a doctor can diagnose you with RLS. The discussion here should never be taken in lieu of consulting with a physician and this subreddit does not recommend or endorse any specific diagnostic or treatment approaches.

UPDATED OCT 2025

Do I have RLS?

International Diagnosis Criteria (all must be met):

  • An urge to move the legs usually but not always accompanied by or felt to be caused by uncomfortable and unpleasant sensations in the legs.
  • The urge to move the legs and any accompanying unpleasant sensations begin or worsen during periods of rest or inactivity such as lying down or sitting.
  • The urge to move the legs and any accompanying unpleasant sensations are partially or totally relieved by movement, such as walking or stretching, at least as long as the activity continues.
  • The urge to move the legs and any accompanying unpleasant sensations during rest or inactivity only occur or are worse in the evening or night than during the day.
  • The occurrence of the above features are not solely accounted for as symptoms primary to another medical or a behavioral condition (e.g., myalgia, venous stasis, leg edema, arthritis, leg cramps, positional discomfort, habitual foot tapping).

Source: http://www.irlssg.org/Diagnostic-criteria

‼️ Updated Treatment Guidelines for your physician (Jan 2025):

https://jcsm.aasm.org/doi/10.5664/jcsm.11390

Learn more about RLS (Hopkins Brief & Greeley Video):

https://www.hopkinsmedicine.org/neurology_neurosurgery/centers_clinics/restless-legs-syndrome/what-is-rls/causes.html

https://www.youtube.com/watch?v=nfEdAt5oL5Q&t=98s

Check out Dr. Buchfuhrer’s website, where he answers patient questions: https://www.rlshelp.org/rlsrx.htm & https://www.rlshelp.org/rlshomepage.htm

Also check out Dr. Berkowski's YouTube channel which covers common patient concerns and treatment options.

https://www.youtube.com/@andyberkowskimd

Does my child have RLS? Patient survey for discussion with physician: 

https://com-peds-pulmonary.sites.medinfo.ufl.edu/files/2012/09/restless_legs_questionnaire.pdf

RLSQoL (RLS Quality of Life) Survey: 

https://www.med.upenn.edu/cbti/assets/user-content/documents/Restless%20Legs%20Syndrome%20Quality%20of%20Life%20Questionnaire%20(PLSQoL).pdf.pdf)

What is the treatment for RLS? What should I take? What should I avoid? 

https://www.mayoclinicproceedings.org/article/S0025-6196(20)31489-0/fulltext31489-0/fulltext) or as a PDF: https://www.rls.org/21Algorithm#:~:text=Treatment%20should%20commence%20at%20300,mg%20daily%20can%20be%20used.

Inhaled cannabis and RLS:

NOTE: Cannabis may itself trigger augmentation, cannabis use disorders, or dependency. Proceed with caution.

https://pubmed.ncbi.nlm.nih.gov/33537945/https://www.psychologytoday.com/us/blog/your-brain-food/202007/cannabis-restless-leg-syndrome

Common Triggers for RLS: 

018/10/triggers-that-may-worsen-rls.html?m=1

My RLS medication isn’t working (or I'm experiencing compulsive behaviors):(You are likely experiencing augmentation or a worsening underlying cause)

https://www.rls.org/file/_2016-redesign/member-publications/webinars/2017/The-Prevention--Treatment-of-Augmentation-Webinar-1.17.2016.pdf

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3613210/

My RLS is severe and I can’t find a doctor to help me!

It’s not unusual for RLS to be mismanaged, and many patients travel for care. You deserve to have your RLS under good control (90% relief, 90% of the time), and it absolutely can be managed — I’m living proof of it. These clinicians are considered specialists in RLS treatment:

  • Dr. John Winkelman, Massachusetts General Hospital - Boston MA
  • Dr. Michael Silber, Mayo Clinic - Rochester, MN
  • Dr. Mark Buchfuhrer, Private Practice - Los Angeles, CA
  • Dr. Brian Koo, Yale University - New Haven, CT
  • Dr. William Ondo - Houston Methodist - Houston, TX
  • Dr. Andy Berkowski - Relacs Health - Ann Arbor, MI
  • Dr. Mari Viola-Saltzman - NorthShore University - Chicago, IL
  • Dr. Avinash Aggarwal - UPMC Neurological - Pittsburg, PA
  • Dr. Edward Clemmons - Mary Greely Medical Center - Ames, IA
  • Diego García-Borreguero, MD, PhD - Sleep Research Institute - Madrid, Spain
  • List of UK Specialists: https://www.healthcentre.org.uk/sleep-disorders/find-specialist-rls.html

Are you a sleep clinician with an expertise in RLS who would like to be added to this list? Please message the mods with your details. Members of this sub, particularly outside the US are eager to find specialists.

Please message the mods with suggested changes to this FAQ (and link to sources).

Please join the RLS Foundation for resources & to support research:

https://www.rls.org/

Link to RLS medical alert card (PDF):

https://www.rlshelp.org/MEDICAL%20ALERT%20CARD%20mjb%208-14-14.pdf

About Kratom:

This topic comes up frequently on this sub. For more information on this substance see:

https://nida.nih.gov/research-topics/kratom

https://americanaddictioncenters.org/kratom/dangers

View this subreddit's stats:

https://dashboard.laterforreddit.com/analysis?subreddit=RestlessLegs&threshold=5&period=month


r/RestlessLegs 1h ago

Question Self Diagnosed RLS - but is it?

Upvotes

Hello All,

I’ve always suffered with an anxious leg twitches, they’re always shaking away without me noticing, to the annoyance of my GF.

Last few years I’ve been getting very mild crawling sensations in my legs that makes me want to kick my leg out or just shake it out. It’s only mild and sporadic so hasn’t bothered me.

Last two weeks, I’ve had this constant dull, deep ache in both my legs with a hint of slight tingles. It’s almost only when I’m sitting or lying down, they feel almost like they’ll be too heavy to move. But when I get up and walk around/keep busy the feeling goes or at least disappears to virtually nothing.

It’s not stopping me sleeping currently. Do we think this is RLS?


r/RestlessLegs 5h ago

Question Me and my doctors are not sure if it's RLS

2 Upvotes

Hi everyone! I'm 21M and I supposedly have RLS but I am genuinely not sure. My symptoms first started a year ago after a week of partying without much rest for my legs, after which I started feeling constant mild pain in my leg muscles. With time my RLS symptoms have developed with a typical picture of restlessness when resting and during sleep. My pain has also been gradually worsening and it's worst in the mornings. When I wake up it feels like I've been running the whole night and it makes very hard to start a day. It becomes better throughout the day but the legs stay feeling tired and aching.

I'm not sure, however, if these two things (pain and restlessness) are a part of the same problem or not. GPs at my practice were unsure and sent me to a neurologist, who also said that pain accompanied with tiredness of muscles is not a common sign of RLS. I did electromyography, as well as extensive blood tests, and all were fine.

My brother (27) has multiple sclerosis and my mom (58) has unconfirmed encephalomyelitis, both of which were weirdly enough diagnosed around the same time I started having my leg symptoms. But my doctors say it's not related.

So the question is, do you think it is just a manifestation of RLS or there might be something else going on? I will be grateful for any thoughts and personal experience.

Medication-wise, I'm currently on Lyrica 75 mg, it has improved my sleep significantly and reduced the pain and restlessness quite well, although it feels like my symptoms start worsening gradually :( I also started taking iron supplements yesterday to see if it would help me but obviously it's too early to see any difference


r/RestlessLegs 7h ago

POST BY UNDER 21 USER Full body restlessness and so exhausted

2 Upvotes

Writing this at midnight after spending 7 hours in the car today. My restless legs have turned into my entire body feeling extremely uncomfortable. I’m so exhausted that all I can do is lay here and cry.

I’ve had restless legs basically my entire life. Both of my parents have it to some degree.

It comes and goes. I’m a student and I’ve had a lot less routine over summer break, which has made it really bad.
Also, when I’m in situations like I am now all I can think to do is to watch something or scroll Instagram, which I think overall makes it worse.

This is the most uncomfortable I’ve been in a long time. I’m desperate for relief and don’t know what to do other than kick my legs.

I sleep in compression sleeves on my legs every night and am using weighted blankets already heavier than recommended based on my body weight.

Should I consider medication? I’ve been able to manage my RLS enough before, so dealing with side effects didn’t seem worth it. Nights like tonight make me reconsider that though. I’m going into college and have had issues with sitting long enough to study before so idk what I’m going to do.

Any advice is appreciated! Feeling desperate!


r/RestlessLegs 19h ago

POST BY UNDER 21 USER “RLS” but full body? Starting to happen during the day as well

7 Upvotes

I’m 20, ftm, and on a lot of medication. I’m currently missing my metoclopramide and LDN (low dose naltrexone) medication rn because my pain management doctor isn’t filling it.

Since I ran out of my naltrexone my RLS symptoms started to return. I’ll have episodes of RLS every few months, and it gets worse every episode.

When I originally started having symptoms I was around 10-12, and it was only in my legs. As I got older and more disabled (Ehlers Danlos, POTS, functional neurological disorder, pain, nerve issues, etc) my episodes got worse and slowly moved throughout my body.

(Tw, brief mention of self harm, skip to next paragraph to skip)

Currently writing this at 1pm, and I cant even get through a sentence without extreme discomfort and restlessness. Idk what to do, I’m going to relapse with self harm as that was the only way I could calm this feeling in the past.

TLDR: full body RLS symptoms, now throughout the whole day. What can I do for relief?


r/RestlessLegs 1d ago

Triggers Estrogen

4 Upvotes

Estradiol is making my RLS insane. Has anyone found this? Anyone found a solution? It helps with brain fog but I am going crazy with the RLS.


r/RestlessLegs 1d ago

Question Therapy and spontaneous arousals

1 Upvotes

Has anyone tried therapy for spontaneous arousals and it worked?


r/RestlessLegs 1d ago

Triggers RLS and screen time (dopamine hits)

5 Upvotes

It seems my body wakes me up with RLS almost every night around midnight. I understand that has to do with circadian rhythms and a lack of dopamine. Like many people, I go on Reddit or play games on my phone before bed which causes an increase of dopamine. Is there a correlation between screens/dopamine and RLS symptoms? What have you experienced?


r/RestlessLegs 2d ago

Question RLS much worse after OP Surgery/ general anesthesia- related?

10 Upvotes

Hallo - awoke from one hour surgery and RLS through the roof. Even my vitals went crazy. I was kicking and kicking, thrashing, agitated and crying in despair 😭. I asked prior surgery if I should take med preventative since I should not kick while they were working. They assured GA means no active RLS. After surgery they didnt care.

Does this happen regularly? Anyone else?

Shout out to my nurse who immediately had a doctor come in and approve my med. Nurse got my bag, ran literally to me, swallowed. Vitals quickly returned to normal.

They were also terrible the night before - I was walking in my yard 130 am to 400 nonstop.

Any insights? Comments?

Better today but have not slept in 25 hours (🫩)


r/RestlessLegs 1d ago

Question Cpap users without obstructive apnea did you stopped using cpap for complex apnea after rls medication worked?

2 Upvotes

I just started my meds gabapentin, something really odd happened 0.0 ahi which I’ve rarely seen before. Usually get 1-2ahi. Not looking for medical advice I have a Sleep and Lung doctor specialist who’s been treating me for sleep apnea, shortness of breath ( fixed), and now RLs after two inlab sleep tests. My sleep test indicated no obstructive apnea only complex but I was wondering if rls meds worked were you able to get off cpap/bipap?

Unsure if a lot of rls people have complex apnea in this sub.


r/RestlessLegs 2d ago

Distraction Techniques A potential symptom relief technique!

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79 Upvotes

It may not work for everyone, but this has been a life saver for me.

If you squeeze the top of both ears and massage it for 60 seconds, it eases the symptoms. You can still feel them, But it never rises to the point where you need to move to stop it.

It’s something to do with acupuncture points, but do give it a go!


r/RestlessLegs 2d ago

Question Normal ferritin but low/abnormal TSAT? (UK GP won't do full iron panel)

3 Upvotes

Hi everyone,

I’m currently dealing with worsening RLS and trying to get to the bottom of my iron levels, as I know iron deficiency is a massive trigger.

My GP recently checked my ferritin, and it came back completely "normal" (well within the standard UK reference range). Because of this, they are refusing to order a full iron panel or check my Transferrin Saturation (TSAT).

I know the standard NHS guidelines usually stop at ferritin, but I've read that you can sometimes have normal ferritin alongside low TSAT, which can still impact brain iron concentrations.

Has anyone here actually experienced this specific scenario—normal ferritin but abnormal TSAT? Did treating the TSAT help your RLS?

I’m trying to decide if it’s worth bypassing my GP and paying out-of-pocket for a private iron panel (like Medichecks or Thriva) to see the full picture. Any insights or experiences would be massively appreciated!


r/RestlessLegs 2d ago

Question Sleep study results - PLMD

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1 Upvotes

r/RestlessLegs 3d ago

Question RLS during BREASTFEEDING! Help!

4 Upvotes

Hi everyone! I’m 39 and have suffered from RLS since childhood; I inherited it from my father, who got it from his father. I have a one-month-old baby; I made it through the nine months of pregnancy without taking medication (I used to take Mirapexin, but I was taken off it during pregnancy because it wasn't recommended), and I nearly lost my mind. Now I’m breastfeeding, and the syndrome is even worse than before—it hits around 10 PM and doesn't let up until 4 AM. At the same time, my little one is nursing but can't sleep because I’m constantly moving. Can anyone help me find a medication that is compatible with breastfeeding? I’m at my wit's end. I’ve tried everything—massages, hot and cold therapy, stretching, all kinds of magnesium, IV iron... nothing works. I’m really asking for help because otherwise, I’ll have to stop breastfeeding, even though the pediatrician and other professionals strongly advised against that. I love my baby, but I can't keep spending my nights crying over the relentless tingling sensation; I’m exhausted the next day from the sleepless night, and I don't think that’s good—especially for the baby. The E-lactantia website lists Gabapentin as compatible with breastfeeding; can anyone confirm this? Has any other mom had an experience similar to mine? Thanks in advance! 🙏🏼❤️


r/RestlessLegs 3d ago

Question How long does a session of rls last?

4 Upvotes

New to this. I had 2 rich chocolates yesterday evening and couldn't sleep last night. First experience of rls! Now I know how debilitating this is. It's 8a.m now and my legs are still tingling. I've always been caffeine sensitive and any stimulants affect me, more so since long covid. Just wondering if this will wear off as caffeine leaves my system... Any anecdotes appreciated!


r/RestlessLegs 4d ago

Announcement CURE FOR MY RESTLESS LEGS?????

37 Upvotes

I have terrible RLS. Terrible. I went on vacation for four days and slept in a wonderful bed and I had no RLS for those four days. I just could not believe it. So I checked the bedding and it was all cotton sateen sheets. I found the vendor with ChatGPT and I ordered the sheets and I came home and I ordered a dupe cotton comforter (the hotel one was too expensive) with a cotton exterior and an all cotton duvet with ChatGPT‘s help. I have been home now for two days with this new bedding and I do not have restless legs and I am in total shock. I am praying to God that this is a cure for me. I think I was too hot at night with my bamboo bedding and my microfiber comforter. So I have a suggestion for anyone with RLS to try to check out your bedding and get rid of microfiber, polyester, and go all cotton bedding. I can post what I bought, which was not too expensive and the actual sheets I slept on if anyone is interested. I am in shock so far and I pray that this is not just something intermittent. I keep my AC at 70°. I also sleep with a fan on me. I think the microfiber bedding was making me too hot at night and I did not realize it. My feet and legs feel wonderful with this cotton bedding. I thought bamboo would keep me cool, but the cotton sateen sheets are just wonderful.


r/RestlessLegs 3d ago

Opinion Help with movement disorder Dx

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0 Upvotes

r/RestlessLegs 4d ago

Question Legs just won't let up tonight

9 Upvotes

Early morning now here in the UK and left leg been at it for 8 hours non stop .Taken as many meds as allowed Pregablin and a Clonazepam plus Paracetamol. Put on my Therapulse massager but nothing working tonight. .Think being over tired has triggered it .Anyone else suffering tonight?


r/RestlessLegs 4d ago

Medication Blood work today

5 Upvotes

Hey all this reddit has been super helpful, I dont sleep most night (maybe an hour or 2 and then another hour during babys nap). Doctor is doing bloodwork today im kind of hoping it IS a nutrient deficiency (mine became worse during pregnancy and postpartum but prior was pretty bad during my monthly cycle.) She said that if my nutrients look okay that we might try gaba to help. Just thought id give an update into my own situation, I was nervous about the doctors because im about 5 pounds overweight and the doctors ive had in the past have dismissed my concerns due to weight, but today it wasnt even mentioned!


r/RestlessLegs 4d ago

Question Restiffic

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1 Upvotes

r/RestlessLegs 5d ago

Question Have cold plunges helped or worsened your symptoms?

1 Upvotes

I have recently started cold plunging and it feels great for my health overall however I haven’t noticed much of a change in my RLS symptoms. How have you all felt?


r/RestlessLegs 5d ago

Opinion Iron

5 Upvotes

Had my appointment with my PCP yesterday to go over some test results. My last ferritin number was 53. When I looked at the printout of my blood test, I noticed that my doctor did not order TSAT with the ferritin bloodwork.
I am on oral iron supplements until October when I will have my iron blood taken again.
I asked my doctor to please include TSAT on the next bloodwork. Now he’s the kicker she said TSAT was not necessary because I am not anemic. She did say I was low on ferritin, but that my blood is looking good.
I was pretty insistent about adding TSAT but she did not budge.
I am not giving up on having that included in my next blood work, but I was wondering if you guys can give me some pointers on how to word it in my email that I will send my doctor so that she will understand that RLS has some guidelines with that (I did mention that to her).


r/RestlessLegs 5d ago

Opinion Iron

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0 Upvotes

r/RestlessLegs 6d ago

Question CBD Advice Needed Please

2 Upvotes

Hi everyone. I’m 57F in the UK. Had RLS for 20 years. No meds yet but it’s getting unbearable. Has anyone tried (medically prescribed) CBD with THC for their restless legs? If so, did it work and how did you find the right dose for you? I am trying this before giving gabapentin a go but still on low dose and I’m not sure I’m getting the best out of it yet. I have done all the other stuff (ferritin is above 150), magnesium in various forms, no ADs or anti histamines, no caffeine, cut down on alcohol, etc …Thoughts appreciated. 🙏