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

Answered by
Dr. Saraswat Kumarshri Shriniwas
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Feb 05, 2016 and last reviewed on: May 09, 2019

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.

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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.


The Probable causes:

Specify probable causes if any.

Probable diagnosis:

Major depression, dopamine deficit.

Treatment plan:

Tablet Bupron XL 150 mg in the morning along with previous medicine.

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?

#

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.


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