1. Carefully assess both the patient's and bed partner's reports of the patient's nighttime limb movements.

2. Measure sleepiness (via ESS) and RLS symptoms at each visit to track progress with therapy.

3. Evaluate potential side effects of therapy, including nausea, drowsiness, sleep attacks, compulsive behaviors, and headaches for the DA agents.

4. Review the sleep diaries and timing of RLS symptoms to screen for possible symptom augmentation.

5. If symptoms are not resolved, increase the dose of DA agent or add another agent such as gabapentin or a short-moderate duration sedative hypnotic.

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Headache Happiness

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