Anticonvulsants to treat idiopathic restless legs syndrome: systematic review
Autor(a) principal: | |
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Data de Publicação: | 2008 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://dx.doi.org/10.1590/S0004-282X2008000300034 http://repositorio.unifesp.br/handle/11600/4389 |
Resumo: | BACKGROUND: Restless legs syndrome (RLS) is a sensory motor disorder characterized by a distressing urge to move the legs and sometimes also other parts of the body usually accompanied by a marked sense of discomfort or pain in the leg or other affected body part. Many treatments have been used to minimize the discomfort of the disease, among them the anticonvulsant therapy. AIM: This review aims to evaluate the efficacy and safety of anticonvulsant treatment for idiopathic RLS. METHOD: Systematic review of randomized or quasi-randomized, double blind trials on anticonvulsant treatment for RLS. Outcomes: relief of RLS symptoms, subjective and objective sleep quality, quality of life, and adverse events associated with the treatments. RESULTS: A total of 231 patients were randomized in three cross over studies and one parallel study. Three studies with carbamazepine, one with sodium valproate, and one with gabapentin, and they were very heterogeneous so we could not perform a metanalyses. CONCLUSIONS: There is no scientific evidence on RLS treatment with anticonvulsants for clinical practice. |
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Anticonvulsants to treat idiopathic restless legs syndrome: systematic reviewAnticonvulsivantes para a síndrome das pernas inquietas idiopática: revisão sistemáticarestless legsanticonvulsantpernas inquietasanticonvulsivantesBACKGROUND: Restless legs syndrome (RLS) is a sensory motor disorder characterized by a distressing urge to move the legs and sometimes also other parts of the body usually accompanied by a marked sense of discomfort or pain in the leg or other affected body part. Many treatments have been used to minimize the discomfort of the disease, among them the anticonvulsant therapy. AIM: This review aims to evaluate the efficacy and safety of anticonvulsant treatment for idiopathic RLS. METHOD: Systematic review of randomized or quasi-randomized, double blind trials on anticonvulsant treatment for RLS. Outcomes: relief of RLS symptoms, subjective and objective sleep quality, quality of life, and adverse events associated with the treatments. RESULTS: A total of 231 patients were randomized in three cross over studies and one parallel study. Three studies with carbamazepine, one with sodium valproate, and one with gabapentin, and they were very heterogeneous so we could not perform a metanalyses. CONCLUSIONS: There is no scientific evidence on RLS treatment with anticonvulsants for clinical practice.CONTEXTO: A síndrome das pernas inquietas (SPI ) é uma desordem caracterizada por um impulso de mover as pernas e as vezes outras partes do corpo acompanhado geralmente por desconforto ou da dor nas pernas ou em outra parte afetada. Muitos tratamentos tem sido utilizados para aliviar o desconforto causado pela doença entre eles os anticonvulsivantes. OBJETIVO: Este estudo objetivou avaliar a eficácia e segurança do tratamento da SPI com as drogas anticonvulsivantes. MÉTODO: Revisão sistemática de ensaios clínicos randomizados ou quasi-randomizados, duplo-cegos para o tratamento com anticonvulsivantes para SPI. Desfechos: alívio dos sintomas da SPI, qualidade subjetiva e objetiva do sono, qualidade de vida e efeitos adversos relacionados ao tratamento. RESULTADOS: Um total de 231 pacientes foram randomizados em três estudos cross-over e um estudo paralelo. Três estudos avaliaram a carbamazepina, um estudo avaliou o ácido valpróico e o outro a gabapentina, eles eram muito heterogêneos, o que impossibilitou a metanálise dos resultados. CONCLUSÃO: Não existe evidência científica, que o tratamento da SPI com anticonvulsivantes é eficaz e seguro, para a prática clínica.Universidade Federal de São Paulo (UNIFESP) Department of Emergency Medicine and Evidence Based MedicineUniversidade Federal de São Paulo (UNIFESP) Brazilian Cochrane CenterUniversidade Federal de São Paulo (UNIFESP) Department of NeurologyUNIFESP, Department of Emergency Medicine and Evidence Based MedicineUNIFESP, Brazilian Cochrane CenterUNIFESP, Department of NeurologySciELOAcademia Brasileira de Neurologia - ABNEUROUniversidade Federal de São Paulo (UNIFESP)Conti, Cristiane Fiquene [UNIFESP]Oliveira, Márcio Moysés de [UNIFESP]Valbuza, Juliana Spelta [UNIFESP]Prado, Lucila Bizari Fernandes do [UNIFESP]Carvalho, Luciane Bizari Coin de [UNIFESP]Prado, Gilmar Fernandes do [UNIFESP]2015-06-14T13:38:34Z2015-06-14T13:38:34Z2008-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion431-435application/pdfhttp://dx.doi.org/10.1590/S0004-282X2008000300034Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 66, n. 2b, p. 431-435, 2008.10.1590/S0004-282X2008000300034S0004-282X2008000300034.pdf0004-282XS0004-282X2008000300034http://repositorio.unifesp.br/handle/11600/4389engArquivos de Neuro-Psiquiatriainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-05T17:37:44Zoai:repositorio.unifesp.br/:11600/4389Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-05T17:37:44Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
Anticonvulsants to treat idiopathic restless legs syndrome: systematic review Anticonvulsivantes para a síndrome das pernas inquietas idiopática: revisão sistemática |
title |
Anticonvulsants to treat idiopathic restless legs syndrome: systematic review |
spellingShingle |
Anticonvulsants to treat idiopathic restless legs syndrome: systematic review Conti, Cristiane Fiquene [UNIFESP] restless legs anticonvulsant pernas inquietas anticonvulsivantes |
title_short |
Anticonvulsants to treat idiopathic restless legs syndrome: systematic review |
title_full |
Anticonvulsants to treat idiopathic restless legs syndrome: systematic review |
title_fullStr |
Anticonvulsants to treat idiopathic restless legs syndrome: systematic review |
title_full_unstemmed |
Anticonvulsants to treat idiopathic restless legs syndrome: systematic review |
title_sort |
Anticonvulsants to treat idiopathic restless legs syndrome: systematic review |
author |
Conti, Cristiane Fiquene [UNIFESP] |
author_facet |
Conti, Cristiane Fiquene [UNIFESP] Oliveira, Márcio Moysés de [UNIFESP] Valbuza, Juliana Spelta [UNIFESP] Prado, Lucila Bizari Fernandes do [UNIFESP] Carvalho, Luciane Bizari Coin de [UNIFESP] Prado, Gilmar Fernandes do [UNIFESP] |
author_role |
author |
author2 |
Oliveira, Márcio Moysés de [UNIFESP] Valbuza, Juliana Spelta [UNIFESP] Prado, Lucila Bizari Fernandes do [UNIFESP] Carvalho, Luciane Bizari Coin de [UNIFESP] Prado, Gilmar Fernandes do [UNIFESP] |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) |
dc.contributor.author.fl_str_mv |
Conti, Cristiane Fiquene [UNIFESP] Oliveira, Márcio Moysés de [UNIFESP] Valbuza, Juliana Spelta [UNIFESP] Prado, Lucila Bizari Fernandes do [UNIFESP] Carvalho, Luciane Bizari Coin de [UNIFESP] Prado, Gilmar Fernandes do [UNIFESP] |
dc.subject.por.fl_str_mv |
restless legs anticonvulsant pernas inquietas anticonvulsivantes |
topic |
restless legs anticonvulsant pernas inquietas anticonvulsivantes |
description |
BACKGROUND: Restless legs syndrome (RLS) is a sensory motor disorder characterized by a distressing urge to move the legs and sometimes also other parts of the body usually accompanied by a marked sense of discomfort or pain in the leg or other affected body part. Many treatments have been used to minimize the discomfort of the disease, among them the anticonvulsant therapy. AIM: This review aims to evaluate the efficacy and safety of anticonvulsant treatment for idiopathic RLS. METHOD: Systematic review of randomized or quasi-randomized, double blind trials on anticonvulsant treatment for RLS. Outcomes: relief of RLS symptoms, subjective and objective sleep quality, quality of life, and adverse events associated with the treatments. RESULTS: A total of 231 patients were randomized in three cross over studies and one parallel study. Three studies with carbamazepine, one with sodium valproate, and one with gabapentin, and they were very heterogeneous so we could not perform a metanalyses. CONCLUSIONS: There is no scientific evidence on RLS treatment with anticonvulsants for clinical practice. |
publishDate |
2008 |
dc.date.none.fl_str_mv |
2008-06-01 2015-06-14T13:38:34Z 2015-06-14T13:38:34Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/S0004-282X2008000300034 Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 66, n. 2b, p. 431-435, 2008. 10.1590/S0004-282X2008000300034 S0004-282X2008000300034.pdf 0004-282X S0004-282X2008000300034 http://repositorio.unifesp.br/handle/11600/4389 |
url |
http://dx.doi.org/10.1590/S0004-282X2008000300034 http://repositorio.unifesp.br/handle/11600/4389 |
identifier_str_mv |
Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 66, n. 2b, p. 431-435, 2008. 10.1590/S0004-282X2008000300034 S0004-282X2008000300034.pdf 0004-282X S0004-282X2008000300034 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Arquivos de Neuro-Psiquiatria |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
431-435 application/pdf |
dc.publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
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1814268356102979584 |