I'm 53 years old and have had mild RLS for about 8 years. It's be easily manageable with Reuip the past couple of years. All of the sudden I've had severe RLS for the past 2 months. Stopped Requip and tried Mirapex and added Gabapentin. The Mirapex had some terrible side effects for me and the 1200mgs of Gabapentin did not work. Moved to Horizant and Tramadol last night and have been up all night. I'm so anxious about sleeping I don't think the Tramadol had a chance to work. I feel desperate for help and feel like I'm spiraling down emotionally. My work and home life are suffering tremendously, has anyone had severe RLS and found some relief? My iron is low and I'm on a supplement, but it's not increasing fast enough for me. I started exercise today, 30 minutes on the treadmill. What else can I do? Is there any benefit to acupuncture (which I tried a month ago) or CBD pills? I'm open to any suggestions.