Current Treatment of Willis Ekbom Disease

Willis Ekbom Disease (WED) is one of sleep related movements disorders, which is commonly encountered. The treatment of WED has showed many alterations over time. L-dopa is the first dopaminergic agent used to treat to WED, but its use is limited due to adverse effects such as augmentation. Dopamin...

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Main Authors: Selda Korkmaz, Murat Aksu
Format: Article
Language:English
Published: Galenos Yayinevi 2014-09-01
Series:Türk Uyku Tıbbı Dergisi
Subjects:
Online Access:http://jtsm.org/archives/archive-detail/article-preview/current-treatment-of-willis-ekbom-disease/8956
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author Selda Korkmaz
Murat Aksu
author_facet Selda Korkmaz
Murat Aksu
author_sort Selda Korkmaz
collection DOAJ
description Willis Ekbom Disease (WED) is one of sleep related movements disorders, which is commonly encountered. The treatment of WED has showed many alterations over time. L-dopa is the first dopaminergic agent used to treat to WED, but its use is limited due to adverse effects such as augmentation. Dopamin agonists are the first option in the treatment of WED. These agents are thought to cause less augmentation compared to L-dopa. Of these agents, today, ropinirole, pramipexole and rotigotine have FDA approval. Excessive daytime sleepiness and impulsive control disorders are among important adverse effects. Other agents used to treat WED are α2δ ligands such as gabapentin, gabapentin enacarbil and pregabalin. Of these, only gabapentin enacarbil has FDA approval for the treatment of WED. Although there are several case reports, augmentation has not been demonstrated related to α2δ ligands in long term controlled studies. In secondary WED cases, treatment of associated medical conditions also leads to great improvements in WED symptoms.
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spelling doaj.art-4aca75fff68644da869ede60def0716c2023-02-15T16:09:02ZengGalenos YayineviTürk Uyku Tıbbı Dergisi2148-15042014-09-0113626510.4274/jtsm.014Current Treatment of Willis Ekbom DiseaseSelda Korkmaz0Murat Aksu1Acibadem Üniversitesi Tip Fakültesi, Nöroloji Anabilim Dali, Istanbul, TürkiyeAcibadem Üniversitesi Tip Fakültesi, Nöroloji Anabilim Dali, Istanbul, TürkiyeWillis Ekbom Disease (WED) is one of sleep related movements disorders, which is commonly encountered. The treatment of WED has showed many alterations over time. L-dopa is the first dopaminergic agent used to treat to WED, but its use is limited due to adverse effects such as augmentation. Dopamin agonists are the first option in the treatment of WED. These agents are thought to cause less augmentation compared to L-dopa. Of these agents, today, ropinirole, pramipexole and rotigotine have FDA approval. Excessive daytime sleepiness and impulsive control disorders are among important adverse effects. Other agents used to treat WED are α2δ ligands such as gabapentin, gabapentin enacarbil and pregabalin. Of these, only gabapentin enacarbil has FDA approval for the treatment of WED. Although there are several case reports, augmentation has not been demonstrated related to α2δ ligands in long term controlled studies. In secondary WED cases, treatment of associated medical conditions also leads to great improvements in WED symptoms.http://jtsm.org/archives/archive-detail/article-preview/current-treatment-of-willis-ekbom-disease/8956Willis Ekbom DiseaseL-dopadopamin agonistsa2d ligands
spellingShingle Selda Korkmaz
Murat Aksu
Current Treatment of Willis Ekbom Disease
Türk Uyku Tıbbı Dergisi
Willis Ekbom Disease
L-dopa
dopamin agonists
a2d ligands
title Current Treatment of Willis Ekbom Disease
title_full Current Treatment of Willis Ekbom Disease
title_fullStr Current Treatment of Willis Ekbom Disease
title_full_unstemmed Current Treatment of Willis Ekbom Disease
title_short Current Treatment of Willis Ekbom Disease
title_sort current treatment of willis ekbom disease
topic Willis Ekbom Disease
L-dopa
dopamin agonists
a2d ligands
url http://jtsm.org/archives/archive-detail/article-preview/current-treatment-of-willis-ekbom-disease/8956
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