Hi guys, as title been on pramipexole for over a decade got up to 4 x 0.88, went onto gabipentin, had a reaction, ropinrole was too weak so managed to talk doctor into giving tramadol a try. Last night was 1st night without pramipexole for years, but even 3 tramadol couldn't stop the pain. Managed a couple hours sleep at 4am. Is anyone on a higher dose of tramadol? Have to phone doctors today to explain I've gone up to 3 from the presctibed 1 and need to know if anyone else has this amount so i can give doctor an example of other pls sufferers on that amount! Don't really want to go back to mixing the tramadol with pramipexole but last night wasn't something I could repeat on a long term basis! Cheers.