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Palmitoylethanolamide (PEA) in the treatment of restless legs syndrome: Rationale and case report

Bugnicourt JM. Neurological Sciences, 2026; 47(1):121.

Case seriesHumans

Design
Case series
Subjects
1 patient, already taking gabapentin for restless legs syndrome
Dose used in the study
Oral palmitoylethanolamide, added to the patient's existing gabapentin
Duration
Not stated in the abstract
What was measured
The intensity of restless legs syndrome's painful symptoms.

What the authors reported

The author reports the patient's painful restless legs symptoms decreased in intensity after starting palmitoylethanolamide alongside gabapentin, with no adverse events. The author frames this as the first published report of palmitoylethanolamide used for restless legs syndrome, and notes palmitoylethanolamide is already reported to reduce pain in other central and peripheral neurological conditions, such as migraine and peripheral neuropathy.

Limits of this study

A single case report, not a trial: no control, no way to separate the effect of palmitoylethanolamide from gabapentin, natural fluctuation in symptoms, or placebo response. Dose and duration are not given in the abstract.

Source

PubMed 41504926 · doi:10.1007/s10072-025-08677-8

Entry checked against the abstract on PubMed on 2026-09-22. The dose shown is the dose the researchers used. It is not a recommendation. How to read this page.