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The information below is offered for patients with RLS and for medical professionals who may want more details about treating RLS.
Patients with RLS should not use this information to adjust their own medicine or treat themselves.
In the absence of significant daytime RLS symptoms, it is very appropriate to use sedative pills just before sleep time to induce sleep and sustain sleep until the morning.
As such, the best drugs are ones that have a quick onset of action and a short half life so that the sedative effects are gone by the morning (so there is no persisting sleepiness in the daytime).
In addition, these drugs should not have active metabolites (chemical formed when the drug is metabolized that are themselves active to cause sleepiness) which may cause excessive sleepiness during the daytime by prolonging the sleepy effects of the drug.
The discussion of the different drugs below will concentrate on these beneficial and desirable features.
This should be the first class of medication to be considered for mild RLS/PLMD problems which occur only at bedtime/sleep and do not regularly impair sleep.They should instead consult a physician who is knowledgeable in RLS to treat their problem.If a local physician knowledgeable in RLS is not available, then have your treating doctor use the information below as a guide for treatment.The problems with Halcion (and short acting hypnotic drugs in general) is that of rebound insomnia (which is much worsened insomnia the night after using the drug). This occurs upon awakening, after taking Halcion, resulting in a loss of memory of previous recent events occurring after taking the Halcion.Temazepam has a longer than usual onset of action of 45-60 minutes.