Does the Rotigotine Patch (Neupro®) Treat or Prevent Augmentation in Restless Legs Syndrome (RLS)?

Transdermal rotigotine (Neupro® patch) is a dopamine agonist drug in the treatment of restless legs syndrome (RLS) often touted to treat or prevent augmentation. ‪@andyberkowskimd‬ of ReLACS Health analyzes whether this 24-hour medicine really does mitigate the effects of augmentation in RLS.
To better understand the phenomenon of augmentation, watch this video:
• What is Augmentation i...
For additional information on why dopamine agonists are bad for RLS, read this blog post:
www.relacshealth.com/blog/v3h...
In this video, ‪@andyberkowskimd‬ covers the following:
- Summary of augmentation
- Why dopamine agonists are NOT recommended in the treatment of RLS, as evidenced in the upcoming 2024 Clinical Guidelines by the American Academy of Sleep Medicine
- The reasoning behind why this drug may cause less augmentation than its siblings pramipexole and ropinirole
- How drug-funded studies and researchers with financial relationships to the manufacturer may influence the interpretation of trials
- The 2011 study from Oertel et al. showing signficant augmentation: www.thelancet.com/journals/la...
- The 2017 Trenkwalder study testing rotigotine in those with RLS who already have augmentation and how the conclusions are misleading: www.sciencedirect.com/science...
- Unique challenges for patients who want to survive augmentation from rotigotine patch and get off the medication
These videos are for general medical information only, but for those who live in or near Michigan, Ohio, or Florida, you can hire ‪@andyberkowskimd‬ ReLACS Health as your personal augmentation exterminator. He has successfully treated a few hundred individuals with augmentation from dopamine agonists like the rotigotine patch by offering an RLS Augmentation Management Program for those who need more personalization, time, and expertise. Go to www.relacshealth.com/ to schedule your consultation now.

[@malgkozataolsefski5527]

Thank you very much for this important warning . It is life saving .

[@danielwren-ud1hl]

Dr. Bertkowski, thank you for the best information about RLS not only on CZcams but on the entire internet in my opinion!

[@andyberkowskimd]

Yes, the mission of this channel is to provide expert information on RLS and sleep topics in a platform in which it can be hard to tell what is accurate information.

[@garystubblefield5742]

I got lost in this about what to do when the meds I’m on don’t work anymore.

[@evandavidwilton]

I was dropped overnight from the neupro patch. I still experience problems with my legs

[@paulabreedlove9264]

Once you have augmented on ropinerole and then miropex what treatment is recommended for SEVERE RLS.

[@andyberkowskimd]

aasm.org/aasm-invites-public-comment-on-draft-guideline-for-the-treatment-of-restless-legs-syndrome-and-periodic-limb-movement-disorder/

[@skarragallagher1]

I was on premapaxole for about 5 years snd experienced severe augmentation which lead me to get off it. Sleep was unatainable though for about 4 months after weaning off of it and trying gabapentin which made me feel pretty whack. Now i am on Nuepro patch and am at least able to sleep with no symptoms. What are some other options?

[@andyberkowskimd]

As mentioned in the video, Neupro masks augmentation by being like a 24/7 pramipexole. There is no time when one is not getting the drug to notice that the RLS is occurring earlier and earlier in the day. This is why rotigotine (Neupro) is NOT recommended in the new AASM Guidelines.
aasm.org/aasm-invites-public-comment-on-draft-guideline-for-the-treatment-of-restless-legs-syndrome-and-periodic-limb-movement-disorder/