When I saw a neurologist a couple of weeks ago she recommended rotigotine even though I had been on pramipexole and ropinirole and couldn't manage either. My GP suggested starting with half a 1mg patch (even though it says don't cut them) and I did this for 6 days. I had been taking 250mg of tramadol. I have been on 1mg patch for seven days and no nausea, no sickness and no headaches. The RLS symptoms are much less noticeable so, even though it is early days, I am quite excited. I have dropped the tramadol to 150 as I still have some pain particularly in the mornings. My plan is to stick to the 1mg for a bit longer and then see if I can go to 2. The neurologist's theory is that if the RLS is brought under control I won't need the tramadol as there will be no pain. We shall see! I do feel a bit lightheaded and was awake before 5 this morning but I suppose I can't have everything. I still take 1.25 mg of clonazepam to help me sleep. I hope this is of interest.