Once again I am very sorry to hear you are tortured with severe rls that is not responding to your current treatments.
I see you are on requip now. First of all we can optimize the dose on this medication. This is an excellent medication for rls, some patients may require larger doses, so what you may consider is upping the dose and see whether the higher dose helps. The maximum you may try is about 8 mg/day for rls purpose. You may check the strength of requip what you have with you and slowly try to optimize the dose of requip as tolerated and as necessary, and as mentioned earlier you may slowly increase the dose up to about 8 mg per day
The above is one option to consider, if for some reason you do not want to try this and if you are looking for other treatment options then please consider one or more of the following treatment options too;
You may try one or more of the nutritional supplements mentioned below;
Folic acid supplements
The above nutritional supplements especially the iron and magnesium supplements are preferably started after checking their blood levels first
You may consider the following medications too;
If you have not tried the above then one or more of the above treatments too can be considered
To summarize once again;
1) First of all you may consider optimizing the dose of requip as mentioned above
2) If for some reason you do not want to try upping the dose, or it does not help even after upping the dose then you may try the other treatment options mentioned above, which consist of certain nutritional supplements as well as many commonly used medications for rls
I earnestly hope the above treatment options will help you in getting relief from this very severe rls.
Wishing you a quick & complete recovery! And also Wishing you the best health!
All the very best!
Please let me know if you have any additional questions or if you want to discuss this further. And please take a moment and kindly click a positive rating (preferably 5 Star/Excellent) to credit for the time & effort put by me in answering your health question, and this is the only way I will be credited for my service to you. If you have follow-up or additional questions you can ask them after the rating too!
Assuring you the best services!
Dr Subbanna MD