Clinical recommendationEvidence ratingReferencesComments
Obtain serum ferritin and consider replacing iron in patients with RLS with ferritin level less than 50 ng per mL (50 mcg per L).C9, 14 Expert panel and nonrandomized trial
Consider changing medications that may exacerbate symptoms of RLS.C14 Expert panel recommendation
If antidepressant therapy is used for patients with RLS, consider using bupropion (Wellbutrin).C14, 16 Expert panel and disease-oriented data showing decreased PLMS with bupropion compared with SSRIs
Dopamine agonists are effective treatment for moderate to severe RLS and are the preferred agents for most patients with daily RLS symptoms.A14, 1724 Expert advice and RCTs with consistent findings