30th April 2024

A 77-year-old man complains of increasing sleep disturbance. He describes not being able to turn over in his sleep at night

A 77-year-old man complains of increasing sleep disturbance. He describes not being able to turn over in his sleep at night, difficulty getting out of bed in the morning and occasional leg cramps. He reports that his symptoms are well controlled in the day, though his poor sleep is causing some day time fatigue. He takes Co-Beneldopa, which has been up-titrated with no positive effect on his nocturnal symptoms. What is the most appropriate management strategy?

Select the SINGLE most appropriate option from the list below. Select ONE option only.