I guess one of the most horrendous problems is just watching the minutes and hours creep by knowing that there is no way it is possible to lie down and embrace the power & benefits of sleep. its now 4.23 am. My partner has wisely left to sleep in the spare room. I have been taking one 0.50mg of Ropinirole and a self prescribed 50mg Tramadol capsul for about 3 years with deep sleep every night until last night when for some reason I forgot to take my medication. When rls started to kick in (a pun!) I realised that the effects of the medication were obviously working but the thought had occurred to me "was I taking the medication as a habit or was it necessary to to take both meds?" So last night at about 1am I decided to see whether the Tramadol on its own would have the effect of allowing me to sleep. Alas NO! I suffered the effects of no sleep until about 8am when I was able to grab 30 minutes of sleep through sheer exhaustion. So I decided to see whether I needed the Tramadol at all and took the Ropinirole on its own for the first time for as long as I can recall. Did it work alas another NO! So tonight I will be resorting to taking the combined meds and just hope that it works for the next few years!!! I am dreading augmentation but at least I feel that this site will help me at the appropriate time.