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Magnesium citrate monotherapy improves restless legs syndrome symptoms and multiple suggested immobilization test scores in an open-label pilot study
by
Gorantla, Sasikanth
, Trotti, Lynn Marie
, Ravisankar, Ashwath
in
Adult
/ Agonists
/ Citric Acid - therapeutic use
/ Dopamine
/ Female
/ Humans
/ Investigations
/ Iron
/ Magnesium
/ Magnesium - blood
/ Magnesium - therapeutic use
/ Male
/ Middle Aged
/ Narcotics
/ Organometallic Compounds
/ Pilot Projects
/ Quality of Life
/ Questionnaires
/ Restless legs syndrome
/ Restless Legs Syndrome - drug therapy
/ Scientific Investigations
/ Self report
/ Side effects
/ Sleep apnea
/ Treatment Outcome
/ Validation studies
2024
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Magnesium citrate monotherapy improves restless legs syndrome symptoms and multiple suggested immobilization test scores in an open-label pilot study
by
Gorantla, Sasikanth
, Trotti, Lynn Marie
, Ravisankar, Ashwath
in
Adult
/ Agonists
/ Citric Acid - therapeutic use
/ Dopamine
/ Female
/ Humans
/ Investigations
/ Iron
/ Magnesium
/ Magnesium - blood
/ Magnesium - therapeutic use
/ Male
/ Middle Aged
/ Narcotics
/ Organometallic Compounds
/ Pilot Projects
/ Quality of Life
/ Questionnaires
/ Restless legs syndrome
/ Restless Legs Syndrome - drug therapy
/ Scientific Investigations
/ Self report
/ Side effects
/ Sleep apnea
/ Treatment Outcome
/ Validation studies
2024
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Magnesium citrate monotherapy improves restless legs syndrome symptoms and multiple suggested immobilization test scores in an open-label pilot study
by
Gorantla, Sasikanth
, Trotti, Lynn Marie
, Ravisankar, Ashwath
in
Adult
/ Agonists
/ Citric Acid - therapeutic use
/ Dopamine
/ Female
/ Humans
/ Investigations
/ Iron
/ Magnesium
/ Magnesium - blood
/ Magnesium - therapeutic use
/ Male
/ Middle Aged
/ Narcotics
/ Organometallic Compounds
/ Pilot Projects
/ Quality of Life
/ Questionnaires
/ Restless legs syndrome
/ Restless Legs Syndrome - drug therapy
/ Scientific Investigations
/ Self report
/ Side effects
/ Sleep apnea
/ Treatment Outcome
/ Validation studies
2024
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Magnesium citrate monotherapy improves restless legs syndrome symptoms and multiple suggested immobilization test scores in an open-label pilot study
Journal Article
Magnesium citrate monotherapy improves restless legs syndrome symptoms and multiple suggested immobilization test scores in an open-label pilot study
2024
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Overview
Study Objectives:
An estimated 3% of the population has clinically significant restless legs syndrome. Given the limited pharmacological options in the arsenal, there is a need for a therapeutic agent with a better side effect profile.
Methods:
Twelve treatment naive adults (10 women and 2 men with a median age of 41.5 [32–48.5] years) with primary restless legs syndrome were recruited in our open-label pilot study; magnesium citrate 200 mg was administered daily for 8 weeks. Serum magnesium levels, International Restless Legs Syndrome Study Group Rating Scale, Kohnen quality of life scale, and multiple suggested immobilization tests (three 1-hour tests) were performed before and after supplementation. Paired
t
tests and Wilcoxon signed-rank tests were used for data analysis. Pearson and Spearman’s analyses assessed the association between magnesium levels and restless legs syndrome variables.
Results:
Participants had a significant reduction in International Restless Legs Syndrome Study Group Rating Scale scores (6.67 [2.33–11]
P
= .006) and improved Kohnen quality of life scores (8.5 [2.09–14],
P
= .014) without notable differences in serum magnesium levels (
P
= .3). The median periodic limb movements during wakefulness index (30.40 [5.20, 122.40] to 8.63 [0.32, 17.47]
P
= .043) and self-reported discomfort score (19 [14, 30.5] to 6 [0, 8]
P
= .0010) of all 3 multiple suggested immobilization test trials also demonstrated improvement. Serum magnesium levels negatively correlated with multiple suggested immobilization test self-reported scores and the periodic limb movements during wakefulness indices.
Conclusions:
Despite the limitations of open-label design, our study’s positive results indicate the need for a placebo-controlled trial with a larger sample size.
Clinical Trial Registration:
Registry: ClinicalTrials.gov; Name: The Effect of Magnesium Citrate Supplementation in Restless Legs Syndrome (RLS); URL:
https://clinicaltrials.gov/ct2/show/study/NCT04462796
; Identifier: NCT04462796.
Citation:
Gorantla S, Ravisankar A, Trotti LM. Magnesium citrate monotherapy improves restless legs syndrome symptoms and multiple suggested immobilization test scores in an open-label pilot study.
J Clin Sleep Med
. 2024;20(8):1357–1361.
Publisher
Springer International Publishing,Springer Nature B.V,American Academy of Sleep Medicine
Subject
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