Because fatigue and drowsiness tend to worsen the symptoms of RLS, implementing a program of good sleep hygiene should be a first step toward resolving your symptoms. Some people with RLS find that going to bed later and arising later in the day helps them to obtain an adequate amount of sleep. Good sleep hygiene also involves a program of regular, moderate exercise. Typically, sleep experts recommend that exercise should take place at least six hours before bedtime to avoid an adverse impact on your sleep, however, many people with RLS find that exercising, such as using a stationary bike or a treadmill, immediately before bedtime is useful. You may find that you achieve your best sleep later in the 24-hour cycle for example, sleeping from 2 AM until 10 AM may work best for you.
Some people find that performing isometric exercises for a few minutes before bed is helpful.
Self-directed activities that counteract your symptoms of RLS appear to be very effective, although temporary, solutions to managing the disorder. You may also find that keeping your mind actively engaged through activities such as a participating in a stimulating discussion or argument, performing intricate needlework, or playing video games helps during times that you must stay seated, such as when you are traveling. Unfortunately, in many cases, the symptoms of RLS either initially do not resolve with the treatment of underlying disorders and the implementation of lifestyle changes or, over time, progress so that relief is insufficient with these methods. Drug Therapy Top of Page No drugs have been approved by the U.S. Food and Drug Administration for the treatment of RLS, but several drugs have undergone clinical studies in RLS and have been approved for other conditions. These medications fall into four main classes dopaminergic agents, sedatives, pain relievers, and anticonvulsants.