Re your meds, the buproprion is fine, polar bear just forgot that it's the same things as Wellbutrin, the one AD that should never cause worsened WED/RLS.
Do you mean triazolam and alprazolam? Those are both triazolobenzodiazepines, you don't take them at the same time, do you? Do you take zolpidem at the same time as well? Are the benzos more for anxiety than for sleep?
Sounds like you have a number of things going on. First, covid-induced worsening per Frunobulax's doctor. Second (not in order) surgery-induced worsening (it's very common post-surgery). Third, you probably are augmented; most people I know of have augmented long before they get up to 5 x 0.25 pramipexole daily. The maximum recommended dose of pramipexole/Mirapex for WED/RLS is 0.25 mg, according to some specialists, or 0.5 according to others, so you're 2.5 to 5 times higher than the maximum that specialists recommend. The likelihood of augmentation increases with dose.
Augmentation is a worsening of the WED/RLS symptoms caused by dopamine-type medications (pramipexole/Mirapex, ropinirole/Requip, rotigotine/Neupro, and levo-carbidopa/Sinemet). Unfortunately, the best way to deal with advanced augmentation is to get off the dopamine med, and withdrawal involves even more worsening.
You should definitely be bringing this problem to your doctor. There is probably no effective route forward for you that doesn't involve getting off and staying off all dopamine-type medications. It will not be pleasant to get off the Mirapex, but it will be essential that you do. You may have to increase the gabapentin or switch to pregabalin/Lyrica, but likely that won't be enough. The hydrocodone may also have to be replaced with a more potent opioid (one without any added un-needed meds like the acetominophen in Norco).
You will probably need to educate your doctor about augmentation. If she/he knew about it, you wouldn't be on such a high dose of Mirapex. Probably you will need to provide him/her with educational materials on both augmentation and the role of iron in WED/RLS.
There are some useful brochures you can print off on the Foundation website. This one is excellent:
https://www.rls.org/file/member-publica ... tation.pdf
(even though it is addressed to the patient, it is still useful for the provider. )
Read & show your doc the "How is augmentation addressed" part of this one:
https://www.rls.org/file/member-publica ... 5-3-22.pdf
And third, read and show your doc this publication on Iron and WED/RLS
https://www.rls.org/file/member-publica ... n-2022.pdf
You need to be a member to access those publications. If you can't afford the membership, email them, they can probably help you out with a special "scholarship" membership. In other words, this information is going to be very important to your future health, so don't let anything stop you from getting it! I know you can do this!