Without Pramipexole I would never sleep. That being said, I absolutely hate Pramipexole. I've been on it for about 12 years after a sleep study said I had 333 leg movements per hour. I am on 1 mg per night. Sometimes need .5 in the afternoon. Doc says not enough to cause any side effects. I call bull****. Have developed a gambling problem which was never an issue before and know that it is this med.
I tried switching to Gabapentin after reading your posts, thank you for those, by the way. But the two nights with zero sleep and wishing I had a tall enough house to jump off the roof and at least break my legs (the thought of my legs in casts though was enough to stop all those thoughts!), I immediately went back on the Mirapex.
When I've had pain bad enough for prescription pain meds, the RLS is at bay. My doc, though, will not prescribe pain medicine for long term use. BUT IT WORKS! So frustrating for doctors to not understand the effects of RLS on every part of your life. The need for education here in the US is tremendous.
Thank you for your posts and the education it provides for me.