Restless Legs Syndrome (RLS) Discussion Board

A supportive doctor is worth his weight in gold.

It was a wonderful week without any RLS. It started very mild last night. I restarted the buprenorphine. That seems to work best if I wait until it starts. Taking it a few hours before bed doesn't work. It takes affect very quickly. The steroid injections are a factor.
Such as life.

I find that my sleep quality is worse on buprenorphine than methadone. If I had to choose an opioid, methadone would be my preferred.

Actually I agree.

I'm still doing well with buprenorphine. When my RLS is worse, I take 1/4 of the film. After I've had an injection of a steroid in my back, then I take less. Either none or 1/8th of a piece.
I had more break through RLS on methadone and before that mirapex.
I'm sleeping much better.

Excellent news. We are so happy that this continues to work for you.

It's turning out that I am taking 1/4 th of the film. I have started exercising. When I do anything but sit, I have increased RLS. This is working to take it at 2:30 pm. I may even move it to 2 pm to combat alertness. At least my RLS is gone.

I have been on it for more than a year. Around 1/3 of a 2mg SL tablet so around 0.7 mg. It stops all RLS symptoms at night - it is the best medication in that regard. Main side effects: unable to fall asleep, usually accompanied by a sense of euphoria/excitation. Staying awake until 4AM. Difficulty waking up before noon. Extreme tiredness/drowsiness in the afternoon (unable to stay awake). Lack of energy/motivation during the day. Some dizziness/nausea during the day. I read that the SL tablets can cause tooth decay - you should rinse right after absorption.

I take it at 9:30PM but the bottle says take at 4:00PM so I may have to try taking it earlier and see if that helps. I don’t want to take it that early because it makes me feel “off” and I want to enjoy workouts/dinner etc.

I don’t think it is a long term solution if I want to stay employed.

Ropinirole caused severe augmentation but I had more energy during the day.

I would try moving your dose to earlier. That really helped me with the alertness. I usually am able to go to sleep between 11 and midnight. If I took it at 9:30 pm, I'd be up all night.
Good luck.

I will try earlier - thanks