I have had RLS for maybe 40 years. It was manageable for a number of years but finally started taking Pramipexole about 6 years ago. Gradually worked up to .5 mg dose per day. It always made be a bit sick to my stomach but it beat the RLS. And then it quit working. My doc said that was the maximum dose, move to ropinirole. I am now on 1.5 mg of ropi's (as I call them). The RLS is now starting earlier in the day, almost anytime that I am at rest. But not everyday. I also am a long distance bike rider and the RLS is impossible in the evenings after I go for long rides. She wants me to increase the dose. I do feel a bit crampy with the dose that I am on. I think that I am suffering from augmentation from what I have read on the Internet. I am going to see her again. She doesn't seem to know much about RLS. Should I ask for a referral to a neurologist? I think that these drugs are backfiring for me.