I had my appointment with the palliative department at my hospital. It's a tiny department, with only about 12 doctors and nurses. It's geared mainly to cancer patients and whatever pain or discomfort they're suffering from.
In my case it was rls, of course, which has absolutely worsened since the chemo therapy started.
Had a nice talk with the doctor, and explained relatively briefly how my situation was at the moment.
She asked me to drop the pramipexol (which I've been taking more or less regularly since 20th September, and replace them with something called neurontin (gabapentin, 300 mg). It's supposed to stop nerve-related pain without inducing feelings of drowsiness and dizziness.My daughter said she'd prescribed neurontin for me years ago, but I don't remember.
Well, I started on Wednesday with one pill. Slept quite well that night. Took two pills yesterday and didn't sleep at all last night. Body was restless, but not in an rls way. It was just a compulsion to move, but without the accompanying pain of rls. Today I'm starting on the full dosage, three pills a day. I feel drowsy and dizzy, so either that's a hangover from the pramipexol or it's a side-effect of the neurontin. I suspect the latter.. And rls? From being virtually symptom free the past 3-4 weeks, I'm now sitting at the computer with rls at full blast in my buttocks, thighs and legs. This is going to be a rotten weekend. If I'm just as bad by Monday, I'll ring them and say I've had enough of the neurontin. I'm going back to pramipexol.
I promised earlier to write about progress in the cancer department (the treatment is going fine), but so much has happened on the cancer sidelines that I simply haven't had the energy to put pen to paper.