How bad can insomnia and restless legs get before I should call 911?
Date created:
Thursday, November 20, 2025
When to Call 911 or Seek Emergency Help
Call 911 immediately or go to the emergency room if you experience:
Severe or dangerous symptoms like:
Uncontrollable, violent limb movements causing injury or falls
Chest pain, trouble breathing, or racing heart that won’t slow down
Severe dehydration (vomiting or diarrhea so intense you can’t drink or urinate)
Confusion, hallucinations, or paranoia
Suicidal thoughts or a plan to hurt yourself (even from sleep deprivation)
Fainting, seizures, or passing out
You’re tempted to relapse in a dangerous way (e.g., take a high dose after tolerance dropped)
When to Call a Doctor or Addiction Clinic Urgently
Call a health professional within 24 hours if:
You haven’t slept more than 1–2 hours for 3+ nights
Your restless legs are so severe that they cause severe anxiety, panic attacks, or keep you from functioning
Over-the-counter or natural remedies aren’t helping at all
Your blood pressure or heart rate is very high, especially if you feel dizzy
You’re having relapse urges due to discomfort or desperation
In BC, for example, you can call the Opioid Treatment Access Line at 1‑833‑804‑8111 to speak to a nurse or doctor the same day, 7 days/week.
When to Manage at Home, but Watch Closely
You may be okay managing symptoms at home if:
Restless legs are uncomfortable but not dangerous
You get interrupted sleep, but at least some rest
You’re able to hydrate, eat, and care for yourself
You feel exhausted and frustrated, but not at risk of hurting yourself or others
Remember:
Sleep deprivation affects judgment — even a few days without sleep can increase anxiety, hallucinations, or irrational decisions.
Restless legs are painful and maddening but usually not life-threatening — however, if they’re severe enough to cause injury, panic, or total breakdown, you need help.
Don’t tough it out alone. Sleep problems during withdrawal are medical issues, and help is available.
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