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Restless Legs Syndrome

Obstructive Sleep Apnea

The latest developments in both new and novel approaches to treating sleep disorders. ©designer491/shutterstock

Restless Legs Syndrome

Ryan M. Bottary

While patients with restless legs syndrome may be successfully treated with a number of medications, comorbid psychiatric conditions present a unique challenge because many commonly prescribed psychiatric medications may worsen RLS symptoms.

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We’ve been waiting since 1953, the year chlorpromazine was introduced to the US as a revolutionary treatment for schizophrenia, for an active treatment for tardive dyskinesia that the FDA judged to be effective.

Sleep-related problems are among the most disabling consequences of TBI, with multiple influences: impairment of neuronal plasticity, metabolomic alterations, loss of vascular homeostasis, and disruption of the blood-brain barrier. The authors take a close look.

What's new in sleep medicine? The latest developments in both new and novel approaches to treating sleep disorders.

Depression is a frequent psychiatric comorbidity among patients with restless leg syndrome. The case presented here illustrates the importance of evaluating for RLS symptoms in patients with major depressive disorder who complain of insomnia.

Primary care physicians need to pay more attention to this common medical disorder that frequently is unrecognized or misdiagnosed.

Charles Dickens might well say of American psychiatry, “These are the best of times and the worst of times.”

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