This is both a bit of an update as a request for some guidance.
I've been on Temgesic since last November when it made a HUGE difference to my life - the RLS was gone and I slept! However, even though I upped the dose to 1.5 tablets and then 2, the jerking of my body, etc gradually came back. So I've decided to come off Temgesic for a few months and return to the dreaded DA route. I've ramped down the Temgesic and ramped up the Ropinirole from 0.25mg to currently 0.75mg. I would have thought that this level would be sufficient for the first few weeks at least but it is not working well with the last two nights being rubbish. I had a meeting to attend this morning and so I gave up in the middle of the night and took a half Temgesic tablet. I then managed to sleep until the alarm went off.
So, what level of Ropinirole should I expect to use? I'm only going to be on it for hopefully just 3 months before I revert back to Temgesic and so I doubt that I will face augmentation. I should also note that I had variously been on Ropinirole and Pramipexole until last November, but it should have washed out of my system until then.
I look forward to hearing from you
You probably don't want to hear this--- But you are doing something that is utterly mad.Leaving the gold plated option of Buprenorphin to return to the certain HELL of dopamine agonist medication is just " not on, old chap".
Please, please, please take a moment to think this through.
I've run into two problems with the Temgesic: 1. It is not as effective and 2. upping the dose to 2 tablets (400mcg) is giving me headaches, trouble relieving myself and other opioid self effects. I do not like going back to a DA but if it means that I sleep then it is worth it until I can return to a Buprenorphine.