Circadian Pattern in Restless Legs Syndrome: Implications for Treatment Posology

The symptoms of restless legs syndrome (RLS) follow a circadian pattern, as inducated in the current RLS diagnostic criteria. Indeed, subjects with mild-to-moderate RLS suffer or not from RLS symptoms depending on the time of day, resembling an above-threshold state periodically followed by a below-...

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Main Authors: Celia Garcia-Malo, Irene Cano-Pumarega, Andrea Castro-Villacañas-Farzamnia, Sara Boi
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2024-12-01
Series:Sleep Science
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Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1782176
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author Celia Garcia-Malo
Irene Cano-Pumarega
Andrea Castro-Villacañas-Farzamnia
Sara Boi
author_facet Celia Garcia-Malo
Irene Cano-Pumarega
Andrea Castro-Villacañas-Farzamnia
Sara Boi
author_sort Celia Garcia-Malo
collection DOAJ
description The symptoms of restless legs syndrome (RLS) follow a circadian pattern, as inducated in the current RLS diagnostic criteria. Indeed, subjects with mild-to-moderate RLS suffer or not from RLS symptoms depending on the time of day, resembling an above-threshold state periodically followed by a below-threshold state. Although the circadian clock is crucial in the clinical features of RLS, research assessing the ultimate drivers of circadian rhythmicity is still very limited. In the present review, we show current evidence on circadian variations of neurotransmitters involved in the pathophysiology of RLS (systemic iron metabolism, brain iron homeostasis, adenosine, dopamine, glutamate, and endogenous opioids). Secondly, an overview of available therapies for RLS is presented, including information on current recommendations for symptomatic treatments in RLS.
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institution DOAJ
issn 1984-0659
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language English
publishDate 2024-12-01
publisher Thieme Revinter Publicações Ltda.
record_format Article
series Sleep Science
spelling doaj-art-7379934d4f764b978e15bac2f0927b0d2025-08-20T02:49:09ZengThieme Revinter Publicações Ltda.Sleep Science1984-06591984-00632024-12-011704e470e47510.1055/s-0044-1782176Circadian Pattern in Restless Legs Syndrome: Implications for Treatment PosologyCelia Garcia-Malo0https://orcid.org/0000-0002-4690-7965Irene Cano-Pumarega1Andrea Castro-Villacañas-Farzamnia2Sara Boi3Neurology Department, Centro Integral de Sueño y Neurociencias (CISNe), Madrid, SpainNeurology Department, Centro Integral de Sueño y Neurociencias (CISNe), Madrid, SpainNeurology Department, Centro Integral de Sueño y Neurociencias (CISNe), Madrid, SpainNeurology Department, Centro Integral de Sueño y Neurociencias (CISNe), Madrid, SpainThe symptoms of restless legs syndrome (RLS) follow a circadian pattern, as inducated in the current RLS diagnostic criteria. Indeed, subjects with mild-to-moderate RLS suffer or not from RLS symptoms depending on the time of day, resembling an above-threshold state periodically followed by a below-threshold state. Although the circadian clock is crucial in the clinical features of RLS, research assessing the ultimate drivers of circadian rhythmicity is still very limited. In the present review, we show current evidence on circadian variations of neurotransmitters involved in the pathophysiology of RLS (systemic iron metabolism, brain iron homeostasis, adenosine, dopamine, glutamate, and endogenous opioids). Secondly, an overview of available therapies for RLS is presented, including information on current recommendations for symptomatic treatments in RLS.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1782176restless legs syndromecircadian patternRLS symptomsRLS symptomatic treatment
spellingShingle Celia Garcia-Malo
Irene Cano-Pumarega
Andrea Castro-Villacañas-Farzamnia
Sara Boi
Circadian Pattern in Restless Legs Syndrome: Implications for Treatment Posology
Sleep Science
restless legs syndrome
circadian pattern
RLS symptoms
RLS symptomatic treatment
title Circadian Pattern in Restless Legs Syndrome: Implications for Treatment Posology
title_full Circadian Pattern in Restless Legs Syndrome: Implications for Treatment Posology
title_fullStr Circadian Pattern in Restless Legs Syndrome: Implications for Treatment Posology
title_full_unstemmed Circadian Pattern in Restless Legs Syndrome: Implications for Treatment Posology
title_short Circadian Pattern in Restless Legs Syndrome: Implications for Treatment Posology
title_sort circadian pattern in restless legs syndrome implications for treatment posology
topic restless legs syndrome
circadian pattern
RLS symptoms
RLS symptomatic treatment
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1782176
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AT andreacastrovillacanasfarzamnia circadianpatterninrestlesslegssyndromeimplicationsfortreatmentposology
AT saraboi circadianpatterninrestlesslegssyndromeimplicationsfortreatmentposology