I'm 65 and have suffered RLS for about 5 years. I started on Gabapentin followed by DA's with nothing lasting more than a few months before losing effectiveness and eventually I augmented. To withdraw from DA's, nearly 2 years ago, I took Tramadol and had immediate success and stayed on them until now. Both specialist and GP were helpful but admitted it was up to me to read up, join the forums and learn all about RLS and become my own expert. I have used diaries to isolate triggers, avoid certain foods, try to maintain regular meal, medication and bed times, avoid eating late, avoid stress, avoid over exercising etc but now Tramadol seems to have stopped working. I take 2x50mg Tramadol at 7.00pm after my evening meal and recently started to take a gentle iron tablet before going to bed at 11pm. My ferritin level was less than 70 but haven't had it checked recently. I get RLS in arms and legs and have to get up for half an hour at least 4 times a night with very disturbed sleep which often results in a migraine. If I sit down in an afternoon I fall fast asleep and wake up with RLS.
Any ideas, please?
I could take another 50mg Tramadol at onset of RLS, which works, but am wary of increasing the dose. Should I play with timing, taking them later or splitting the dose or is there a slow release version of Tramadol? Is there any other medication to try or should I start on a cocktail with DA's?
Thanks in advance,