How do you treat benign fasciculation syndrome?

Reassurance. Just telling the patient that it isn’t ALS and it’s a benign and common condition will often suffice. If it doesn’t suffice:

• Address anxiety with psychotherapy, medications, or both.
• Reduce caffeine intake, and ensure the patient gets adequate sleep.
• If the first and second options don’t work and the patient feels they need medication to control the fasciculations.
  • Try oral magnesium first (400-800 mg daily). Yes, it does work about half of the time even if AAN doesn’t recommend i...

I usually recommend magnesium oxide, 500-1000 mg a day, for patients with a slow GI tract. For those with a regular GI tract, I suggest magnesium gluconate, 500-1000 mg.

Additionally, I advise reducing caffeine intake, managing stress, and improving sleep. Vitamin D (2000-5000 IU), calcium, CoQ10, and electrolyte supplements are also important.

For patients without a history of high blood pressure, pickle juice commercial bottles can be considered. If none of the above work, medications like pre...

We have seen quite a few of these in post-COVID patients. A few were treated with IVIg. However, the main problem seems to be reassuring the patient.