Nidra - Effective, on-demand RLS relief.

Frequently Asked Questions

support@noctrixhealth.com | 866-327-3757

FAQ

Below are all frequently asked questions about our product.
How is this different from things I’ve tried in the past?

Nidra is the first and only drug-free, wearable device of its kind. Nidra is clinically-proven to reduce symptoms of RLS and improve sleep by using a novel technology called TOMAC (Tonic Motor Activation) therapy. Visit www.nidrarls.com/why-nidra-therapy to learn more about this unique technology.

How long do the Nidra therapy units last?

We provide a 3-year warranty for each of your Nidra therapy units. If your therapy units require replacement within the 3-year warranty, we will replace them at no cost to you.

Can I use Nidra on a plane?

Yes, you can use Nidra as a passenger on a plane. However, the device should not be used during operation of vehicles (including planes) or other moving equipment.

Can I wear the bands while travelling long distances?

Yes. However, the device should not be used during operation of vehicles or other moving equipment. For long car rides or flights, we recommend charging the bands in advance and putting them on after being seated but prior to beginning the journey, so you can experience relief at the onset of symptoms.

Can I take the bands through security at the airport (TSA)?

Yes. We recommend traveling with a copy of our Flying with Nidra Therapy (FAA Letter) and your prescription and the Nidra IFU just in case TSA has any questions. If you anticipate RLS symptoms in-flight, keep your bands in your carry-on and then place on your legs after you’ve taken your seat on the plane. Note that the device should not be used during operation of vehicles (including planes) or other moving equipment and uses lithium ion batteries (so you might not be able to pack in a checked bag – please check with your airline).

When do I activate the bands for best results?

For best results, activate the Nidra bands after RLS symptoms appear but before they become severe. You can safely wear the bands to bed and easily activate if symptoms appear in the middle of the night. If you are not experiencing RLS symptoms, you should not use your Nidra bands.

If I only experience symptoms in one leg, do I only use one Nidra band?

No. For the most effective therapy, wear the bands on both legs during therapy. Nidra has not been tested for use in only one leg. If use on both legs isn’t feasible, speak with your Therapy Support Specialist for further guidance.

How do I apply the CDI patch?

Please refer to the Nidra Patient Manual for detailed instructions on how to apply the CDI patch.

How long do I need to charge the bands?

A full charge can take up to 2 hours. You should charge both devices daily after each use and keep charging until the next session.

What does Nidra feel like during a therapy session?

Patients report different sensations when experiencing TOMAC therapy with their Nidra bands, with some describing it as a tingling sensation.

Can Nidra be used in patients with knee replacements?

Yes, knee replacements are not a contraindication. Patients with knee replacements were included our clinical trial. Please see our safety information for a complete list of contraindications.

Can Nidra be used to treat RLS symptoms in the upper legs?

Yes.

Can Nidra be used to treat RLS symptoms in the upper body?

Yes. There are no limitations regarding the location of RLS symptoms. Regardless of symptom location, the bands must be applied to the same location (just below the knees).

Can a patient with a metal rod in their leg be treated with Nidra?

Nidra is only contraindicated for metal implants in the leg at the therapy site (not including knee replacements). Therefore, there are no limitations regarding metal rods implanted at other locations. For a complete list of contrainidications please visit NidraRLS.com/isi/.

Are there any long-term risks of using Nidra?

We are not aware of any significant long-term risks of using Nidra. In clinical trials, the longest duration that we tested was 32 weeks of treatment, during which we did not see any serious device-related side effects in any of the participants.

Are there any long-term risks of using TOMAC therapy?

We are not aware of any significant long-term risks of using TOMAC therapy. In clinical trials, the longest duration that we tested was 32 weeks of treatment, during which we did not see any serious device-related side effects in any of the participants.

What are the normal side effects of Nidra?

Normal side effects include mild skin irritation from the adhesives on the Charge Dispersing Interfaces (CDI) or interference with preferred sleep postitions. For complete safety information please visit NidraRLS.com/isi/.

I was just diagnosed with RLS. Can I use Nidra?

It is best to speak with your physician to determine the appropriate treatment for your RLS symptoms.

If I start Nidra therapy, do I need to keep using it forever?

A recent clinical trial demonstrated that patients who stopped using Nidra after 6 months, experienced a gradual return of symptoms over time. It is recommended to continue using it on nights when symptoms are present. Visit the Learn section of our website to explore our clinical data.

Why is the Personalized Activation required?

Each person is unique and experiences RLS symptoms differently. The Personalized Activation session customizes your therapy settings to your specific symptoms. During the session, your therapy levels will be established (based on your feedback) and programmed into your device. This helps maximize the amount of relief you achieve to help you sleep better.

Do the Nidra bands get hot?

It is rare for the device to get hot. If the device feels too warm, we recommend avoiding tight clothing or bedding around the device or turning the device off if necessary.

Is Nidra available to treat adolescent RLS?

Nidra is indicated for use in adults with primary moderate to severe RLS who are refractory to medications. Please visit NidraRLS.com/isi/ for Safety Information and contraindications.

I get RLS symptoms in the middle of the day. Can I still use therapy then?

Yes, you can use Nidra at any time throughout the day when symptoms are present.

What level does therapy start at when I turn the bands on?

Your therapy starts at level 3 after the bands are turned on.

30-minute therapy sessions are not enough for me. Can I use therapy more than once?

Yes, you can start another 30-minute session immediately after the first session ends if you still are experiencing symptoms. There are no restrictions on how many times you can use Nidra in a day.

I wake up in the middle of the night with symptoms. What should I do?

Put the bands on before going to sleep and easily begin therapy with the press of a button as soon as symptoms appear.

The sensation feels different than how it felt when I first started therapy. What should I do?

Please contact your Therapy Support Specialist and they will help troubleshoot and resolve any issues.

How do you define moderate – severe RLS?

This is determined by your physician based on evaluating your RLS symptoms. In the clinical trials, this was determined using the IRLS rating scale.

What is an “active” implant?

“Active” implants require power to operate. Common active implants include cardiac pacemakers, internal defibrillators, neurostimulators, and implanted infusion pumps. Passive implants do not require a power source.

What are the benefits of Nidra and TOMAC therapy?

Nidra is a wearable device that delivers TOMAC therapy, which is clinically proven to reduce RLS symptoms and improve sleep quality without the negative side effects frequently experienced from drug therapy. Visit www.nidrarls.com/benefits/ to learn more.

Will Nidra therapy make me drowsy?

No. Nidra therapy is non-drowsy, so normal daily activities should not be affected.

Is Nidra a cure for RLS?

No, Nidra is not a cure. Nidra is the first and only drug-free wearable therapy, clinically proven to reduce symptoms of Restless Legs Syndrome.

Is there a trial period?

We want you to feel confident in your therapy, so we offer a 45-day trial period starting from the day your device is delivered. If you find the therapy isn’t a fit, you can return the product within 45 days for a full refund. Please note that this policy does not apply to Medicare beneficiaries. Please contact us for additional details and to explore all terms and conditions.

Is Nidra covered by Insurance?

Because Nidra is a new therapy, many commercial insurance providers may not have a formal policy in place for our product. Therefore, each case is currently reviewed individually, and some cases may require an appeal to secure coverage. Our dedicated Patient Access team is here to guide you throughout the process.

I already have a prescription, where do I send it?

Please send the prescription form and letter of medical necessity to Rx@Noctrixhealth.com. You can also fax it to (925)660-0115. For a complete list of required approval documents and additonal information, please visit NidraRLS.com/clinic-support.

Does Nidra require a prescription?

Yes, Nidra requires a prescription.

Is Nidra available via Telehealth?

Yes, you can schedule a telehealth RLS consultation with a sleep physician. Make sure to check with your insurance company to determine your eligibility. Try using our physician locator if you are looking for a doctor and would like to schedule an appointment today.

Is Nidra available for out-of-pocket purchase or with HSA/FSA funds?

Yes, you can use out-of-pocket or HSA/FSA funds to purchase Nidra. A prescription is required.

Is there an age limit to use Nidra?

Nidra is indicated for use in adults with primary moderate to severe RLS. Please see our Safety Information for additional contraindications.

Can I get Nidra outside of the U.S.?

Unfortunately, Nidra is currently only available in the U.S. We aim to bring this technology to the global RLS community as soon as possible.

How much does Nidra cost?

The out-of-pocket cost to patients is highly variable depending on insurance coverage, time of purchase, and deductibles. The base price for Nidra is $7,500, while additional supplies (Charge Dispersing Interface replacements) cost $75 per month. Our dedicated team works closely with your insurance provider to understand your options and provide you with a clear understanding of any associated costs before making a purchase. Our goal is to ensure transparency and eliminate unexpected costs.

What if I want to skip insurance and just pay out of pocket?

We prefer to help patients pursue insurance reimbursement and encourage you to speak to our team that can help navigate insurance. If that isn’t an option, cash pay is available for the upfront cost and additional monthly supplies, which include Charge Dispersing Interface replacements (a prescription is required and Nidra must be commercially available in your area). When you are ready to get started, our team is available to discuss your options.

When and where will my Personalized Activation take place?

Once you receive your Nidra device, our team will schedule your personalized activation at the nearest location possible. Both in-person and remote/virtual options are available.

How long do the Nidra patches last?

Each Charge Dispersing Interface (CDI) patch is intended to last 7 days after the packet is opened. After 7 days, discard the used CDI and replace with a new one before you begin the next therapy session.

Can you help me find a sleep specialist in my area who is prescribing Nidra?

Yes, you can visit our website to find a Sleep Specialist in your area, or you can contact us directly to find a doctor in your area that prescribes Nidra. Providers offering telehealth services can often make appointments much sooner. The RLS Foundation (RLS.org) is also a great resource to find a Sleep Specialist near you.

How soon after beginning therapy will I know if its working for me?

Results can vary for each individual. As you start your journey with Nidra, our dedicated Therapy Support Specialists collaborate with you to achieve important milestones during your initial weeks of therapy. Once you have learned how to use therapy with the optimal timing, placement, and intensity, most patients report acute symptom relief within 30 minutes of starting therapy. In our clinical studies, patients noted substantial improvements after 4 weeks of therapy. In a clinical trial, patients continued to improve the longer they were on the therapy. Roy A, et al. Sleep. July 2023;46(10).

Can Nidra be used to reduce reliance on medications?

Please consult a Sleep Specialist prior to making any changes to your RLS treatment. Reducing medication while on Nidra therapy has not yet been evaluated by the FDA.

How are Nidra and TOMAC different?

Nidra is the name of the wearable device that delivers therapy. TOMAC therapy refers to Tonic Motor Activation therapy, and is the technology within the Nidra device that provides symptom relief. TOMAC is a novel neurostimulation therapy developed by Noctrix Health that engages specific nerve fibers.

What does refractory mean?

Refractory means that you are not satisfied with your current RLS treatment due to one or more of the following reasons:
Your prescription medication is not providing enough relief
You are experiencing intolerable side effects
You require an increased dosage of a dopamine agonist or gabapentinoid

We recommend speaking to a Sleep Specialist to learn more.

Who is a good candidate for Nidra?

If you have RLS (primary moderate-severe) and experience side effects or insufficient relief with your current RLS treatment, Nidra might be right for you. For more information and a complete list of contraindidations, please read our Safety Information at NidraRLS.com/isi/.

What is the expected life of the battery?

The battery lasts a minimum of 3 years.

My insurance doesn’t cover Nida, what can I do?

Our primary focus is ensuring that as many individuals as possible can access the benefits of our therapy and we are currently working to expand Nidra coverage with additional insurance providers. At this time, Nidra is also available for an out-of-pocket purchase. A prescription is required to begin therapy.

How can I access Nidra?

Nidra is available with a prescription from your doctor. Contact us today to learn more or to help find a physician.

Why is it important to replace my CDI every 7 days?

Replacing the CDI 7 days after opening is important to keep your therapy working at its best. After opening, the hydrogel begins to dry out. This can decrease the conductivity required for the stimulation. By replacing your CDIs after they have been open for a week, the treatment remains consistent while also protecting your skin from potential irritation.

How does one get the most out of Nidra Therapy?

To get the most out of Nidra, make sure you place the bands in the correct location and set the intensity high enough to feel relief. It is also important to start your therapy as soon as you begin to feel RLS symptoms. By using the right position, intensity, and timing, you will get the best results.

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