REM Sleep Behavior Disorder (cont.)
Medical Author:
ABM Salah Uddin, MD
Medical Editor:
Erasmo A Passaro, MD
Medical Editor:
Francisco Talavera, PharmD, PhD
Medical Editor:
Stephen Berman, MD, PhD
IN THIS ARTICLE
MedicationsClonazepam (Klonopin) is highly effective in the treatment of REM sleep behavior disorder (RBD), relieving symptoms in nearly 90% of patients with little evidence of tolerance or abuse. The response usually begins within the first week, often on the first night. The initial dose is 0.5 mg at bedtime, with some persons requiring a rapid increase to 1 mg. With continued treatment for years, moderate limb twitching with sleep talking and more complex behaviors can reemerge.The treatment should be continued indefinitely, as violent behaviors and nightmares promptly recur with discontinuation of medications in almost all persons with RBD. Other medications, such as tricyclic antidepressants, may be effective in some persons with RBD. However, tricyclics are also known to precipitate RBD in some patients. Viewer Comments & ReviewsREM Sleep Behavior Disorder - CausesThe eMedicineHealth physician editors ask:What was the cause of your REM Sleep Behavior Disorder? |
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REM Sleep Behavior Disorder »
Rapid eye movement (REM) sleep behavior disorder (RBD) is a newly described disorder, recognized as a distinct clinical entity following a series of reports in 1986 of adults with RBD.
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