Efficacy and safety of pharmacological treatments for restless legs syndrome in hemodialysis patients: a systematic review and meta-analysis - Takeaways - MDSpire

Efficacy and safety of pharmacological treatments for restless legs syndrome in hemodialysis patients: a systematic review and meta-analysis

  • By

  • Juntao Zhang

  • Yuanzhen Huang

  • Jiebao Liang

  • Hua Li

  • May 20, 2026

  • 0 min

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  • 1

    Restless Legs Syndrome (RLS) is prevalent in hemodialysis patients, significantly impairing sleep and quality of life.

  • 2

    Pharmacologic therapies, especially gabapentinoids, effectively reduce RLS symptoms and improve sleep quality in hemodialysis patients.

  • 3

    Dopaminergic agents are effective for RLS but are associated with higher adverse event risks, including nausea and hypotension.

  • 4

    Iron therapy provides moderate benefits for RLS in hemodialysis patients with good tolerability and no impact on dialysis adequacy.

  • 5

    High-quality trials on Traditional Chinese Medicine for RLS in hemodialysis are lacking, necessitating rigorous future research.

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