Anticonvulsants to treat idiopathic restless legs syndrome: systematic review

Detalhes bibliográficos
Autor(a) principal: Conti, Cristiane Fiquene [UNIFESP]
Data de Publicação: 2008
Outros Autores: 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]
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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spelling 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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