New Dosing of Ultram

 First I want to thank everyone for the great advice and support you all have provided 

me in this forum. It was really appreciated. Well, today  I had the 3rd set of cervical epidural injections.  Im pretty sure he gave me more than this last 2 times. Simply because I heard him say "Shoot here" alot more times than before.

  After he was done I discussed the fact that Ultram wasnt doing so well to relieve

the pain. He told me to start taking 2 50mg 3 times a day. Ask me was I taking muscle

relaxers, but when I told him no he didnt offer any. I will go back for a follow up in

2 weeks.

  Now Im just worried right now about taking 2 at a time. I hate not knowing what

this will do to me. I have to be alert when I am working as I deal with alot of money

during the day. There is no room for error.

    I would appreciate anyones experience with taking Ultram at the dosage Im satarting this evening. Thanks again You all are great!

 

Good thing he didn't give you a muscle relaxant because several of them, taken with Ultram, will give you serotonin syndrome. about the only muscle relaxant that is ok is Valium (diazepam). Yes, at higher doses it's called a tranquilizer. Even 1 mg (half the smallest dose) works well for me. I take it at bedtime. It's also used for stopping serotonin syndrome because it hits the same receptors.

Tramadol also comes in Extended Release. I'm starting to have pretty good luck with that at night. The instant release seems to only work about 4 hours, so it doesn't get me through the night. I thought I was having headaches with the ER, but I think it was other stuff I took at the same time.

I've been taking tramadol for about 2 1/2 years and I get a bit loopy when I take two at a time. That dose also makes me rather sleepy after about 3 hours.

I take 1 1/2 at a time when I have a lot of pain. It's enough to help but it doesn't make me talk non-stop.

tramadol is one of those medications you can feel even taking 1/2 of a 50 mg pill because of its SE inhibition effects. For me I personally didn't like the way it made me feel, but for certain types of pain it worked very well (dental pain) and other types it worked like a baby asprin (lower back).

I would try take 1 1/2 tablets first and see how you feel on that as sometimes even just a 1/2 dose can make a difference. you can use this to titrate yourself up to 2 pills per dose as an in between step. At higher doses the opoid activity is more noticable at about the 90 minute mark, so you might not want to drive until about 2 hours after you have taken it to see how it will effect you (remember the relief SHOULD last 6 to 8 hours).

I prefer Nucynta, as it doesn't have the strong SE zombie properties that tramadol has, though it still feels like taking an anti depressant. However its a schedule 2, but most doctors are more willing to prescribe it vs other schedule 2s due to its lower risk of dependency.

Does ultram really work for you. Its really a very bad drug. Even my pain doc explained this to me. The more ultram you take the higher the risk of seizures. And I'm talking serious seizures. It also has nasty side affects. If it works for you that's great. Just be careful. Also I really hate when doctors prescribe and prescribe this med because they are afraid of opioid meds. Its just ignorance. opiate meds are actually one of the safest class of meds there is. There is no upper amount to where they become unsafe. Its actually one of the few meds that you can take very high doses and be safe. Where as taking too much tylenol can ruin your liver, ibuprofin kills your stomach like most nsaids etc. I think a lot of dr's need to learn the difference between addiction and physical dependency. Luckily I have a very good pain doc who always seeks my input. He let's ME suggest different meds I've heard of then we weigh the benefits and negatives and we decide what's best for me together. Any questions e mail me at [email protected].

hello mom at work, flexiril [cyclobenziprine] is the only muscle-relaxant that could interact with tramadol to cause seretonin syndrome, it is a similar drug to the tricyclc-anti-depressants such as amitriptyine or imipramine which have a seretonin effect. davisgwar is right about why doctors seem to want to perscribe ultram because they are afraid of the other opiates but in so doing they open people up to danger with the combination of drugs like cymbalta, any SSRI or savella or flexiril because they directly interact. i find that for your reason of having to keep your wakefullness up hydrocodone meds are good for that but every one is different. provigil or amphetamines are used by some PM docs when a patient needs high doses of potent opiates to control their pain and still have alertness.