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RLS/Triptafen M

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Dear Colin

You mentioned that your mother is currently taking Triptafen M. I don't

know what the " M " stands for, but Triptafen is a combination of

amitriptyline (Elavil in the US) and perphenazine (Trilafon in the US).

Perphenazine belongs to the phenothiazine class of drugs. These drugs

are universally avoided in RLS because of worsening of the symptoms of

RLS. They are also associated with severe side effects and should be

used with caution. As has been mentioned many times in this group, many

RLS patients react adversely to amitriptyline, a tricyclic

antidepressant, with aggravation of their RLS. It is not my wish to

interfere with your mother's care, but I am not impressed with her

physician's choice of medications. Please forgive the intrusion.

Dr. Levin

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