2014
DOI: 10.5664/jcsm.4296
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Asenapine-Induced Restless Legs Syndrome: Differentiation from Akathisia

Abstract: Akathisia and restless legs syndrome (RLS) share some common clinical features and a common relationship with dopamine dysfunction. However, the underlying causes and appropriate treatments for akathisia and RLS are different. Herein we describe a case of RLS that was precipitated by a single dose of asenapine, which is an atypical antipsychotic, and dissect the features that support the contention that this was indeed a case of RLS and not akathisia.

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Cited by 6 publications
(2 citation statements)
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“…Tables 1, 2, and 3 provide a collection of published case reports and case series of DI-RLS in the literature. From these case reports, antipsychotics (Table 1), 7-31 antidepressants (Table 2), 32-50 and antiepileptics (Table 3) 51-54 were the most common classes of medications suspected of causing RLS. In most cases, once the dose was reduced or the drug discontinued, the RLS symptoms resolved.…”
Section: Literature Searchmentioning
confidence: 99%
“…Tables 1, 2, and 3 provide a collection of published case reports and case series of DI-RLS in the literature. From these case reports, antipsychotics (Table 1), 7-31 antidepressants (Table 2), 32-50 and antiepileptics (Table 3) 51-54 were the most common classes of medications suspected of causing RLS. In most cases, once the dose was reduced or the drug discontinued, the RLS symptoms resolved.…”
Section: Literature Searchmentioning
confidence: 99%
“…The connection between psychotropic drugs and iron has been previously documented as iron deficiency anemia, restless leg syndrome, tardive dyskinesia, akathisia, and neuroleptic malignant syndrome were associated with iron dysmetabolism ( 86 89 ). Moreover, low iron levels were linked to the negative symptoms of schizophrenia, while the offspring of hypoferremic mothers were found to be at risk of developing this disorder ( 90 ).…”
Section: Psychotropic Drugs and Obesitymentioning
confidence: 99%