good to hear you are on Rasagaline, initially the position of NICE was that it offered no clear benefits over Selegeline, my Neuro mentioned last year that there was a push to get Rasagaline used and it must have been successful.

Which Health Authority do you fall under ?

Your Agonist history doesn't sound very controlled. Personally I have increased my dosage of Mirapex on average every 9 months. I know we are all different but a monthly increase to over the max recommended dose sounds like this is not the best option for you. Reactions to the different agonists varies greatly, (just do a search on this site), so Requip/Mirapex may suit you better, however your experience may support my Neuro's comments that the patch is a "weak" option.

Good luck.

Aftermathman.