I am 68yrs old and have suffered with RLS all my life. After taking Pramipexole for the last 15 years I am having very serious problems with augmentation. I am going crazy and need to get off the stuff. I am visiting my doctor on Tuesday. He is helpful but doesn't know much about the condition. So I need to have a strategy. I would really appreciate your advice. Here is what I have come up with:
1) the idea is to transition to Gabapentin which sounds like a better option than Pramipexole.
( Is this true?) (I would rather be drug free but I don't think this is possible for me.)
2) I am planing to take tramadol during the transition to Gabapentin in order to cope with the augmentation and withdrawal.
(Is tramadol the best drug for the job?)
3) I don't want to get addicted to Tramadol so I am thinking I should only take it for a couple of weeks?
(Is two weeks a realistic transition period?)
Does this make sense? I have tried to do this transition without tramadol and it was complete hell and I had to give up.
I currently need 6mg of Pramipexole per 24hrs in order to cope with the RLS.
I am also suffering from chronic insomnia and take Trazadone 150mg to help me sleep. If I try to cut down on the pramipexole (even 1mg) my life turns into a complete nightmare. I often can't tell the difference between sleeping and being awake and the spasms are so bad they can throw me out of bed! The Gabapentin helps but after a few days even twice the prescribed 900mg doesn't do much at all.
Many thanks in advance for any advice.