Items to ask my doctor

Build a list of discussion points to share with your doctor. When you see the icon for My Doctor Conversation Builder at the bottom of a page, select an item to add it to your conversation.

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Prepare for your next doctor's appointment

It's not always easy to pinpoint your feelings and communicate them to your doctor. This tool will help you get started.

Build a conversation by selecting key points from the items below. Any items you selected while using the site have already been added to your list. When you are finished, you can print or email your custom list using the buttons below.

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RLS symptoms are bothering me in the evening.
I have RLS symptoms during the day.
I have a powerful Urge to move my legs.
The urge gets worse when I'm Resting, sitting, or lying down.
The urge Gets better with activity, like walking.
The urge gets worse in the Evening and at night.
One or more of my family members has RLS.
I think I might have moderate-to-severe primary RLS.
My RLS symptoms occur two or more times a week.


Crazy legs
Elvis legs
The jitters
Soda bubbling
Electric current
Tight feeling
Ants marching
Like water moving


Because of my RLS, I sleep less than 5 hours a night.
Because of my RLS, I don't sleep in the same bed as my partner.
Because of my RLS, I avoid jobs that require sitting still.
Because of my RLS, I don't go to the movies.
Because of my RLS, I avoid long drives.
Because of my RLS, I don't take plane rides.
Because of my RLS, I have trouble relaxing after a long day.


I'm interested to learn about how NEUPRO could help me and what I can expect from treatment.
I would like an RLS treatment like NEUPRO that delivers medicine for 24 hours.
I'm looking for a medication that I don't have to take with meals or around bedtime.
I am interested in a patch rather than a pill.
I'm already taking other medicines for other conditions and am concerned about taking another one.
I have concerns regarding application site reactions.
I have concerns regarding nausea.
I have concerns regarding difficulty falling asleep and staying asleep and sleepiness.
I have concerns regarding headache.

Please enter your email address to receive a copy of your custom list. Then print it out and bring it to your next appointment. You can also forward it to your doctor or nurse.

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NEUPRO is a prescription medicine used to treat moderate-to-severe primary Restless Legs Syndrome.


NEUPRO contains a sulfite called sodium metabisulfite. Sulfites can cause severe allergic reactions that are life threatening to some people who are sensitive to sulfites. People with asthma are more sensitive to sulfites. Remove the patch right away and call your doctor if you have swelling of the lips or tongue, chest pain, or trouble breathing or swallowing.

NEUPRO may make you fall asleep suddenly or without warning while doing normal activities, such as driving, which may result in accidents. Tell your doctor right away if this happens. Drinking alcohol or taking other medicines that cause drowsiness may increase your chances of becoming sleepy while using NEUPRO. Do not drive, use hazardous machinery, or do other dangerous activities until you know how NEUPRO affects you.

NEUPRO can cause decreases in blood pressure, especially when you start or increase your dose. Increases in blood pressure and heart rate, and fainting, also can occur. If you faint or feel dizzy, nauseated, or sweaty when you stand up from sitting or lying down, tell your doctor.

Some patients using NEUPRO get urges to behave in a way that is unusual for them, such as unusual urges to gamble, strong urges to spend money, binge eating, or increased sexual urges and behaviors. If you or your family notices you are developing any unusual behaviors, talk to your doctor.

NEUPRO may cause Restless Legs Syndrome symptoms to come back (rebound), become worse, or start earlier in the day.

Skin reactions may occur at the site where you apply NEUPRO. Tell your doctor if you get a rash, redness, swelling, or itching that will not go away.

Avoid exposing the NEUPRO patch you are wearing to heating pads, electric blankets, heat lamps, saunas, hot tubs, heated water beds, and direct sunlight. Too much medicine could be absorbed into your body. Also, do not wear NEUPRO during medical procedures called magnetic resonance imaging (MRI) or cardioversion because this could cause skin burns.

Tell your doctor if you have breathing problems, a sleep disorder, mental problems, high or low blood pressure, or heart problems; are pregnant or plan to become pregnant; or are breastfeeding or plan to breastfeed. NEUPRO may not be right for you.

The most common side effects in people taking NEUPRO for Restless Legs Syndrome are application site reactions, nausea, difficulty falling asleep and staying asleep, sleepiness, and headache.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. You may also report side effects to UCB, Inc. at UCBCares™ (1-844-599-2273).

Please see additional Patient Information about the NEUPRO Patch. This information does not take the place of talking with your healthcare provider about your condition or your treatment.


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