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At the heart of general practice since 1960

Advice must be pulling my leg

The editorial board of the Drug and Therapeutics Bulletin (November issue) must have gone for April Fool's Day early with their recommendations on restless legs.

The normally conservative journal is recommending the referral of patients in whom advice does not work to 'a specialist such as a neurologist or a sleep physician with an interest in restless legs'! The article then points out the paucity of evidence for any treatment.

·Are there any specialists with an interest in restless legs? No one who would admit to it I suspect ­ though the private market sounds enticing.

·It takes several months to see a neurologist for serious conditions round here ­ I somehow think he would be unimpressed if I referred restless legs to him.

·If there are no clearly useful interventions, what is the point!

Dr Laurie Davis

Shrewsbury

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