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Restless Legs Syndrome

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Restless Syndrome

dancinh profile image
4 Replies

Hello I am in this group to help my hubby. He has been suffering from RLS since he was early 40...now he is 55. He has been taking REQUIP since day one but lately is seems like it's not working as much anymore. He literally spent the last 3 nights walking and taking hot showers. He hasn't slept at all. Last night I even took him to the ER but, besides giving him an IV and sleeping pill they didn't do much. Sleeping pills don't work on him... are there any better medice than REQUIP??? Whatelse can we do??? His case is pretty severe...

Thank you

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dancinh
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4 Replies
Pam34 profile image
Pam34

Sounds like augmentation.

See the links below for guidance on what to do.

sleepreviewmag.com/2015/02/...

rls-uk.org/augmentation-reb...

Pam

Totally agree with Pam34. Your husband is very lucky that the requip worked for so long, but really don't despair as there are alternatives per Pam's links. Get help, keep positive and good luck!

Parminter profile image
Parminter

He is augmenting.

This means the drug masks the symptoms in greater and greater doses, while making the condition worse. It is typical of all dopamine agonists, but many doctors do not know this.

What happens is this - RLS is a problem in the dopamine system of the brain, where we have more than enough dopamine but faulty receptors - dopamine agonists hurl more and more dopamine at the already-stressed receptors, and they are either killed off or they internalize into the cells. So it all gets worse.

If he comes off Requip and on to another drug, such as gabapentin and/or an opioid, he will eventually go back to base level.

So first, check his ferritin levels, which should be above 100.

Then ask for an opioid to assist with coming off Requip.

Personally, I stopped dopamine agonists after more than a decade with the help of methadone. It was much easier than I expected. Now I have no symptoms and I sleep.

Joolsg profile image
Joolsg

Pam and Parminter have given you the answer- get him off requip. As you are in USA, find a doctor who will give your husband opioids to help him through withdrawal.

I got off it in 2016 & withdrawal was brutal- 2 weeks of no sleep and constant leg jerks. But it is very do able.

Reduce requip by 0.5mg every 2 weeks and with each drop in dose, take opioids ( I took 50mg tramadol every 4 hours during the worst days).

There are lots of meds available instead like pregabalin, Gabapentin, Horizant or OxyContin.

Read all posts on Augmentation and don’t let doctors prescribe another dopamine agonist.

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