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Cited by 451

The DOI matches its Crossref record; 13 of the 13 references it cites were found in a registry or an index.

Augmentation of the Restless Legs Syndrome With Carbidopa/Levodopa

Allen, Richard P., Earley, Christopher J.·1996·Sleep

Abstract

Dopaminergic agents and carbidopa/levodopa have become the preferred treatment for both the restless legs (RL) syndrome and for periodic limb movements in sleep (PLMS). For once-nightly treatments with carbidopa/ levodopa, a problem with morning end-of-dose rebound increases in leg movements has been reported to occur in the about one-fourth of the patients. In our clinical studies a previously unreported but far more significant problem of markedly augmented RL symptoms occurred in the afternoon and the evening prior to taking the next nightly dose. A systematic prospective evaluation of this augmentation in 46 consecutive patients treated with carbidopa/ levodopa for RL syndrome or PLMS disorder found this augmentation to be the major adverse effect of treatment. Augmentation occurred for 31% of PLMS patients and 82% of all RL patients. It was greater for subjects with more severe RL symptoms and for patients on higher doses (> or = 50/200 mg carbidopa/levodopa) but was unrelated to gender, age or baseline severity of PLMS. This augmentation was severe enough to require medication change for 50% of the RL patients and 13% of PLMS patients. Augmentation resolved with cessation of the medication and could be minimized by keeping the dose low.

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Crossref · 10.1093/sleep/19.3.205

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Metadata

Authors
Allen, R. P., & Earley, C. J.
Venue
Sleep
Published
1996-04
Volume
19
Issue
3
Pages
205-213
ISSN
  • 0161-8105 (ISSN-L)
  • 1550-9109
OpenAlex
W83552848
Cited by
451
References
13
FWCI
8.00
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Augmentation of the Restless Legs Syndrome With Carbidopa/Levodopa. https://app.cochat.ai/papers/10.1093/sleep/19.3.205
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Allen, R. P., & Earley, C. J. (1996). Augmentation of the Restless Legs Syndrome With Carbidopa/Levodopa. Sleep. https://doi.org/10.1093/sleep/19.3.205

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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