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RLS Dead End?

Sleep Health | Last Active: May 12 7:49am | Replies (53)

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@miguels

Have you discussed and researched the phenomenon of ‘augmentation’?
This seems to be when the body responds to the dopamine agonist drugs and eventually makes it worse.
Worth looking into as you make your choice of treatments.

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Replies to "Have you discussed and researched the phenomenon of ‘augmentation’? This seems to be when the body..."

Yes, my husband has been prescribed various doses of ropinerole, pramipexol, levodopa etc…. He spent nearly 3 years working with a neurologist, adjusting dosages & exploring various registered drugs. I do think that he started experiencing the effects of augmentation. He also tried, unsuccessfully, gabapentin & pregabalin (Lyrica). None worked,

As an aside, I’d been prescribed oxycodone for pain associated with a T1-S1 spinal fusion. Out of sympathy, I I occasionally shared my oxy (I know it’s not condoned) & he found that it worked better than any of the drugs previously prescribed for him. (This was before the RLS Foundation published excerpts from studies & recommended opiates as opposed to drugs causing augmentation).

His doctor(s) read & researched the info from the Foundation that I provided & prescribed oxycodone for my husband. He times the hourly dosages & finds that the current prescription isn’t working well for him.

When your loved one says ‘I don’t know how many more years I have to live, but I don’t want to live this way’, it’s extremely alarming.

So, now my husband is taking an anti-depressant & it seems to be helping a bit. Next week we’ll discuss his oxy dosage, or the possibility of adding gabapentin back into the mix.

He’s under the care of a doctor who is willing to work with us to treat the symptoms. I just wish ‘we’ could discover the source of the problem & treat it.

Finally, I must say that our membership in the RLS Foundation and this Mayo sponsored forum have been invaluable finds.

My apologies for the long post. I suspect that many others have, or will take similar journeys. Maybe this will help them.