Posted: Thu Feb 18, 2010 3:13 am
Jane, hopefully the Ultram will work. If not, please call the doctor and tell him you need something stronger. You don't need to suffer, and it sounds like he agrees with you.
Jane, I think IMHO means 'in my humble opinion'.
I would agree with the others about considering getting off the Sinamet as it is ok to use sometimes when it is only occasional rls, but it is not for daily use as it is more likely to make matters worse.
Yes, the dopamine agonists Mirapex and Requip may also cause augmentation. My understanding of these two drugs is that if they were to cause augmentation it would happen within the first perhaps 6 months- 2 years. Tho as beth has said, it can happen right away.
I'm pretty sure I have seen in Dr Bs information, perhaps his letters page on rlshelp.org, that once you get to around 2 years that it is less likely to happen, but not impossible.
I have been on requip for 3 years, and for the last year have supplemented with tramadol/ultram. It is ever so slightly likely that my need for the Ultram was cos of augmentation but I personally think that it was more a case that I was not properly medicated in the first place.
This is just my personal experience .