Since posting my original entry some things have changed. I was forced to take a “holiday” from my Methadone. What I found when I stopped Methadone was:
1. Gabapentine does nothing to relieve my RLS. I’m going to discontinue taking it.
2. The Neupro (Rotigitine) did not completely quell my RLS. I increased the dosage to 4 mg/24 hr patch but still had significant symptoms.
3. I had significant body pain from my lower back down into my legs amplifying my RLS. I am sure this is why the Neupro did not stop the RLS on its own.

I was off the methadone for four nights. On night three and four I got three hours then 35 minutes of sleep respectively. I was dead tired and in agony on night five so I relented and took 10 mg of Methadone. Within a half of an hour my RLS stopped, I was free of pain, and I fell asleep.

Methadone has undesirable side effects for me. Lesson learned I will now take it on an “as needed” basis only since it acts so quickly once ingested.