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Cold/Flu Season With RLS: Medicine Choices That Don’t Aggravate

Published: 12/5/2025Reading time: 4 min readBy: Dr. Sarah Thompson, Pain Management Specialist
Vibration-therapypain-managementUK-healthcare

Cold/Flu Season with RLS: Medicine Choices That Don’t Aggravate

As the cold and flu season approaches, individuals with Restless Leg Syndrome (RLS) face a unique challenge. The discomfort of RLS, characterized by an uncontrollable urge to move the legs, can be exacerbated by certain medications commonly used to treat cold and flu symptoms. This article provides a comprehensive guide for UK patients on selecting medicines that alleviate cold and flu symptoms without aggravating RLS, with a focus on shockwave therapy, pain management, and Therapulse devices.

Understanding RLS and Its Challenges During Cold/Flu Season

Restless Leg Syndrome is a neurological disorder that predominantly affects the legs, causing sensations that lead to an irresistible urge to move. These symptoms often worsen during periods of inactivity, particularly at night, making restful sleep difficult. Cold and flu season adds another layer of discomfort, as individuals with RLS must carefully select medications that do not exacerbate their symptoms.

Common Cold/Flu Medications and Their Impact on RLS

Many over-the-counter cold and flu medications contain ingredients like antihistamines and decongestants, which can worsen RLS symptoms. For instance, antihistamines such as diphenhydramine, commonly found in cold remedies, can increase RLS symptoms due to their sedative properties. Similarly, decongestants like pseudoephedrine can increase alertness, potentially making RLS symptoms more noticeable.

Practical Tips and Actionable Advice for Managing Cold/Flu Symptoms with RLS

Step 1: Consult Your GP

Before starting any medication, consult your GP. They can provide personalized advice and may recommend alternatives that won't interfere with your RLS. If you're unable to visit your GP, consider using NHS 111 for guidance.

Step 2: Choose RLS-Friendly Medications

  • Paracetamol: Safe for RLS patients, paracetamol can alleviate aches and reduce fever without aggravating symptoms.
  • Ibuprofen: This non-steroidal anti-inflammatory drug (NSAID) can help reduce inflammation and pain without negatively impacting RLS.
  • Saline Nasal Sprays: These sprays can relieve nasal congestion without the side effects associated with decongestants.

Step 3: Utilize Non-Pharmacological Interventions

Non-drug therapies can provide relief from both RLS and cold/flu symptoms:

  • Shockwave Therapy: A promising treatment for RLS, shockwave therapy involves using sound waves to stimulate blood flow and reduce symptoms. It can be accessed through some NHS services or private clinics.
  • Therapulse Devices: These wearable devices deliver gentle vibrations to the legs, providing relief from RLS symptoms. They are available from UK-based suppliers and can be used in conjunction with other treatments.
  • Warm Baths and Massages: These can relax muscles and improve circulation, providing temporary relief from RLS symptoms.

Specific Examples and Recommendations

Case Scenario 1: Sarah's Experience

Sarah, a 45-year-old from Manchester, experiences severe RLS symptoms during the winter months. After consulting her GP, she switched to using paracetamol for her cold symptoms and incorporated shockwave therapy sessions twice a month. This combination allowed her to manage her RLS effectively while also treating her cold symptoms.

Case Scenario 2: Tom's Journey

Tom, a 60-year-old from London, found that traditional cold medications worsened his RLS. By using a Therapulse device regularly and opting for saline nasal sprays, he was able to maintain his quality of life during the cold season without exacerbating his RLS symptoms.

Common Mistakes and How to Avoid Them

Many individuals with RLS make the mistake of using over-the-counter medications without considering their impact on RLS. To avoid this, always:

  • Read labels carefully and avoid products with antihistamines or decongestants.
  • Consult healthcare professionals before trying new medications.
  • Consider non-pharmacological treatments as a first line of defense.

Long-Term Strategies and Implementation Guidance

For long-term management of RLS during cold and flu season, consider the following strategies:

  • Regular Check-Ups: Schedule regular appointments with your GP to monitor your RLS and adjust treatment plans as necessary.
  • Maintain a Healthy Lifestyle: Regular exercise, a balanced diet, and adequate hydration can improve overall health and potentially reduce RLS symptoms.
  • Explore Advanced Therapies: If RLS symptoms persist, discuss advanced treatments such as shockwave therapy with your GP. These therapies may be available through NHS referrals or private healthcare providers.

Conclusion: Key Takeaways

Navigating the cold and flu season with RLS requires careful consideration of medication choices and the implementation of alternative therapies. By consulting healthcare professionals, selecting RLS-friendly medications, and utilizing non-pharmacological interventions like shockwave therapy and Therapulse devices, individuals can effectively manage their symptoms. Through informed choices and proactive management, those with RLS can maintain their quality of life even during the challenging winter months.

Important: This article is for informational purposes only. Always consult with qualified healthcare professionals for personalized advice.