Long before requip became the go-to drug for RLS I started out with tramadol 50 mg every 4 hours until I reach 200 mg luckily for me I had a doctor who kept up with the new drugs coming out. As soon as requip came out on the market I was put on it and over the years I was able to withdrawal totally from tramadol ask my dosage for requip went up. At the present time I take 6mg once a day extended release of requip. Seems to work for me I don't have the issue very often.
suffer of RLS most of my life - Restless Legs Syn...
suffer of RLS most of my life
Fred-- Ropinerol is a Dopamine Agonist and I'm sure you've read on this site that they are extremely effective for rls, but they come with a serious health warning.
4mg is the top recommended dose for rls.
You can see what I'm getting at?
Good luck.
It's great that you managed to get off the opiate, that's great, but switching to Requip may be from frying pan to fire.
I note you've already increased the dose above what's considered a reasonable amount and you may have done this because a lower dose wasn't working. This is what happens with Dopamine Agonists.
Although you may be happy it's working at the moment, it could stop working again and worse yet, on such a high dose you are at great risk of augmentation. This is where, paradoxically a dopamine agonist starts to make symptom worse than better.
I am just forewarning you of this. Whatever you do, do NOT increase the dose again. It would be better if you reduced it in fact, if you can.
Dopamine agonists for RLS are now falling into misfavour because of augmentation. The Gabapentinoid drugs are now an alternative that don't cause augmentation.
I used to take a dopamine agonist, suffered augmentation, but I now take Gabapentin instead which is working quite well.