Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 1/31/2026

AASM Guidelines on Antidepressant Use for Restless Legs Syndrome

Recommendations Against Antidepressants

  • The American Academy of Sleep Medicine (AASM) 2025 clinical practice guidelines state that antidepressants are not recommended as standard therapy for Restless Legs Syndrome and specifically advise against using bupropion, carbamazepine, clonazepam, and valproic acid for RLS treatment. 1, 2, 3

REFERENCES

1

treatment of restless legs syndrome and periodic limb movement disorder: an american academy of sleep medicine clinical practice guideline. [LINK]

Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2025

2

treatment of restless legs syndrome and periodic limb movement disorder: an american academy of sleep medicine clinical practice guideline. [LINK]

Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2025

3

treatment of restless legs syndrome and periodic limb movement disorder: an american academy of sleep medicine clinical practice guideline. [LINK]

Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2025