Source:http://linkedlifedata.com/resource/pubmed/id/16987735
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
10
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pubmed:dateCreated |
2006-9-21
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pubmed:abstractText |
Therapy-related augmentation of the symptoms of restless legs syndrome (RLS) is an important clinical problem reported in up to 60% of patients treated with levodopa and, to a lesser extent, with dopamine agonists. The efficacy of low-dose dopaminergic drugs for RLS has been established, but the mode of action is unknown. Here, we review the existing data and conclude that augmentation is a syndrome characterised by a severely increased dopamine concentration in the CNS; overstimulation of the dopamine D1 receptors compared with D2 receptors in the spinal cord may lead to D1-related pain and generate periodic limb movements; iron deficiency may be a main predisposing factor of augmentation, probably caused by a reduced function of the dopamine transporter; therapy with levodopa or dopamine agonists should remain at low doses and; iron supplementation and opiates are the therapy of choice to counter augmentation.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Dopamine Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Dopamine Agonists,
http://linkedlifedata.com/resource/pubmed/chemical/Iron,
http://linkedlifedata.com/resource/pubmed/chemical/Levodopa,
http://linkedlifedata.com/resource/pubmed/chemical/Receptors, Dopamine D2
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pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
1474-4422
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
5
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
878-86
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:16987735-Circadian Rhythm,
pubmed-meshheading:16987735-Dopamine,
pubmed-meshheading:16987735-Dopamine Agents,
pubmed-meshheading:16987735-Dopamine Agonists,
pubmed-meshheading:16987735-Humans,
pubmed-meshheading:16987735-Iron,
pubmed-meshheading:16987735-Levodopa,
pubmed-meshheading:16987735-Receptors, Dopamine D2,
pubmed-meshheading:16987735-Restless Legs Syndrome
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pubmed:year |
2006
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pubmed:articleTitle |
Less is more: pathophysiology of dopaminergic-therapy-related augmentation in restless legs syndrome.
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pubmed:affiliation |
Department of Clinical Neurophysiology, University of Göttingen, Göttingen, Germany. wpaulus@med.uni-goettingen.de
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pubmed:publicationType |
Journal Article,
Review,
Research Support, Non-U.S. Gov't
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