From Dr B....
Unfortunately, the top neurologist who you saw is clearly not a top RLS
specialist. His advice is absolutely incorrect and as you have noted it
should not be followed. You are already on a high dose of Mirapex
(Mirapexin) and are developing augmentation (worsening of your RLS from
taking a dopamine agonist like Mirapex) which means that increasing the dose
will only add fuel to the fire. Adding Sinemet and Madopar will also worsen
this augmentation so should not be taken.
Pregabalin is a reasonable drug but you did not state how much you are
taking for me to determine if you could take more.
The recommended treatment for your RLS would be to get off the Mirapex and
treat your RLS symptoms with a potent opioid (methadone, oxycodone, etc.).
However, you will experience great difficulty finding a physician to
prescribe this treatment.
Margaret will be taking notice!!!