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I have leg restlessness, tiredness, and sleepiness altogether. Why is it so?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I feel my legs are restless and lack energy. I am feeling tired with frequent yawning and sleepiness in daytime. Sometimes, I feel nervous and vertigo while walking. Please suggest a medicine. I had Escitalopram 10 mg bd, but it did not work well. My other medication list is attached for your reference.
Answered by Dr. Saraswat Kumarshri Shriniwas

Education:

MBBS

Professional Bio:

Dr. Saraswat Kumarshri Shriniwas is a Psychiatrist with 19 years' expertise in Psychotherapy, Sexology, Counselling, and Sleep Medicine. He holds an MBBS from Maharashtra University of Health Sciences (2004) and his D.P.M from the College of Physicians & Surgeons of Mumbai (2008). Dr. Shriniwas specializes in diagnosing, preventing, and treating mental disorders, assessing patients for comprehensive care at Mind Care Peace Centre, Jalna, Maharashtra.

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Hi,

Welcome to icliniq.com.

The symptoms described by you are symptoms of depression which are due to low dopamine levels. Escitalopram increases serotonin levels and there is a dopamine deficit remaining in most patients. My advice would be to add Bupropion (Bupron XL) 150 mg to existing drugs. You can make it 300 mg after a week if necessary. Do not stop Escitalopram. This should make you feel fresh and energetic. If your leg restlessness remains, ask your physician if you can take a beta blocker along with current medicine. Take care.

Probable diagnosis

The probable causes are major depression and dopamine deficit.

Treatment plan

For treatment, I suggest you take tablet Bupron XL 150 mg in the morning along with the previous medicine.

Patient's Query

Thank you doctor,

How long should I take Bupron XL 150 mg? Because of long-term use, can there be any side effect from this medicine?

Answered by Dr. Saraswat Kumarshri Shriniwas

Education:

MBBS

Professional Bio:

Dr. Saraswat Kumarshri Shriniwas is a Psychiatrist with 19 years' expertise in Psychotherapy, Sexology, Counselling, and Sleep Medicine. He holds an MBBS from Maharashtra University of Health Sciences (2004) and his D.P.M from the College of Physicians & Surgeons of Mumbai (2008). Dr. Shriniwas specializes in diagnosing, preventing, and treating mental disorders, assessing patients for comprehensive care at Mind Care Peace Centre, Jalna, Maharashtra.

This doctor is not available for online consultations on the platform anymore.

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Hi,

Welcome back to icliniq.com.

The duration of treatment for depression is decided by number of episodes, severity of depression, family history, etc. If it is your second episode, I will advice treatment for two years. It is avoided in patients with epilepsy. As you do not have epilepsy, it is safe for long-term use. You should take Bupropion as long as you are taking Escitalopram. Thank you.

Medically reviewed by Dr. Sneha Kannan
Published At February 5, 2016
Reviewed At July 24, 2023

Education:

MBBS

Professional Bio:

Dr. Saraswat Kumarshri Shriniwas is a Psychiatrist with 19 years' expertise in Psychotherapy, Sexology, Counselling, and Sleep Medicine. He holds an MBBS from Maharashtra University of Health Sciences (2004) and his D.P.M from the College of Physicians & Surgeons of Mumbai (2008). Dr. Shriniwas specializes in diagnosing, preventing, and treating mental disorders, assessing patients for comprehensive care at Mind Care Peace Centre, Jalna, Maharashtra.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

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Dr. Saraswat Kumarshri Shriniwas
Dr. Saraswat Kumarshri Shriniwas

Psychiatry

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Education:

MBBS

Professional Bio:

Dr. Saraswat Kumarshri Shriniwas is a Psychiatrist with 19 years' expertise in Psychotherapy, Sexology, Counselling, and Sleep Medicine. He holds an MBBS from Maharashtra University of Health Sciences (2004) and his D.P.M from the College of Physicians & Surgeons of Mumbai (2008). Dr. Shriniwas specializes in diagnosing, preventing, and treating mental disorders, assessing patients for comprehensive care at Mind Care Peace Centre, Jalna, Maharashtra.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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