Hello RLS tribe! I have been on a Pramipexole low dosage (0,088mg) for 8 years and only recently I doubled the pills due to augmentation. One side effect I noticed from the very first day I took those pills was the tiredness and fatigue throughout the day - which I thought was caused by the interrupted sleep at night. Now that I am on 0.176mg these symptoms appear more obvious and I constantly feel like a zombie walking on the street. I have an appointment booked with the specialist who is on my case and I would like to propose a switch to an alternative medication.
What's your view guys on this and what valid alternatives should I consider (I read a lot on the forum but still very confused)? Ideally I would prefer to switch medication from one day to another but if I am not mistaken that is not the best approach.
In case you wonder the 0.176mg Pramipexole usually makes me sleep 6 hours per night, waking up early in the morning when its effect vanishes (and RLS kicks in). I cannot really complain about the effectiveness of this medicine but its side effects have a huge impact on my daily life.