Levo-Dromoran

[Anonymous]

Anyone know much about this one?

[ViewsAskew]

It's the brand name of levorphenol. Dr Becker recommends it or methadone in terms of effectivness. I don't know anything else about it.

Per the 24/7 thing, I don't think the getting in front of it applies . You can't for one thing. It mostly applies to people taking DAs - they don't work as well once the RLS has started; part of that is how long they take to work. But opioids work fast. They are considered an option for intermittent RLS because they work fast and you can take them after the RLS has started and they still work.

That said, I do find that if I take my meds late, the next night I have some RLS all night long. It screws up the amount in my system. But, in your case, you will have a specific amount in your system within a couple of doses. After that, it shouldn't matter, I wouldn't think.

There are about four or five opioids that are high-potency. I have no idea of how (or why) they work differently from one another, but it certainly couldn't hurt to try every last one of them if needed.

Most people who take additional drugs (what Dr B calls combination therapy) are using low-potency opioids, not high-potency. And combination therapy has a DA at the core most of the time. Most people don't even try the high-potency ones unless the DAs don't work, so they don't take other stuff with them. Your situation is quite different than most people's, however. That said, it's possible that a high-potency opioid and a DA together might really work for you. I completely understand your reticence to try a DA after what has happened so far.

[Anonymous]

Thanks, Ann. You are always so helpful.

[ViewsAskew]

Ah, yes, Ms Helpful. Glad to be of service.