Is there a difference in tramadol marked An627 wh/round and 377 wh/oblong pill I got new ones from?
- 5 Dec 2012 by MrDohBoyBIG
- 10 Oct 2016
- pain, restless legs syndrome, back pain, fibromyalgia, hydrocodone, tramadol, chronic pain
... the pharma this time and want to know if the new ones I got are supposed to be better at all ? 1) Cuz the price difference and 2) I was taken off my hydrocodone after 5 years and put on these and they just don't do anything for me I find it a little ridiculous that I am prescribed 4-6 at a time which is easily over 1000 mg a day when I can take less codone and have better results. Any input would be helpful and if there might be something else I can do for the pain so I'm not eating so many pills I have a rather large tolerance to medications and I am tired of eating pills that don't really work I would rather eat Ibuprofen but I really was not helping my liver with the amt of those I had to take
thank you ,
The max dose of tramadol is 400 mg a day. If I'm reading you correctly you are on way too much. What you have now is correct. I didn't find the round pill on the identifier. The big draw is that tramadol isn't classed as a controlled medication. It is however addicting if you're taking more then you should. Talk to your doctor maybe he'll change you to what works.
The AN 627 pills are tramadol 50mg made by Amneal Pharmaceuticals, and the oblong 377 are tramadol 50mg made by Caraco Pharmaceutical Labs. They are both essentially the same drug but made by different manufacturers. The most you should be taking is two tabs 4 times a day-this is the MAX dose of 400mg in a 24 hour period. Taking any more than that puts you at risk for seizures. Tramadol, especially in high doses, can lower the seizure threshold. Just because it is not considered a controlled substance doesnt mean it is safer than opioids like hydrocodone. Tramadol isnt an opioid. It is considered "opioid like". It is not made from any poppy alkaloids, natural or synthetic, but it DOES act on the opioid receptors, therefore, really carries all the dangers that opioids do. It is also unique in that it has antidepressant properties. For some people it can be every bit as hard to come off of as a true opioid.
You get not only opioid type withdrawals, you get antidepressant type withdrawals as well. If I were in your shoes, I would let my Dr know that the medication is not working and see what your other options are. Do NOT take more than 400mg in a 24 hour period because you can have seizure activity-very dangerous. This can also lead to abuse and withdrawals so be very careful and respect this drug! This is probably just not the right drug for you. It does take time and patience to find the right drug or combination of drugs to treat your pain. If you are not seeing a pain management Dr, I would recommend that you ask your PCP to refer you to one. PM docs have a greater arsenal than PCP's do.
There is no real difference in the quality or effect of the pills. I have personally used them both. They both work the same, one is not "better" than the other. I am usually prescribed the An627's but, sometimes get the 377's. Depends what the pharmacy has in stock.
Personally I do notice a difference between the 2 types of tramadol. The AN 627 round pills don't seem to help with my pain very much. The 377 oblong pills don't take the pain completely away but they at least help make it bearable. I truly believe it has to do with the non active ingredients. Many pharmacists say that there isn't any difference because the active ingredients are the same. I beg to differ. That's like saying that all sandwich cheese tastes the same or that Oscar Meyer & Eckrich lunchmeats taste the same. No it does not. Although they all have the same base ingredients each manufacturer puts different additives or non active ingredients in their product to make it their own. As of 2014 Tramadol is now considered a narcotic pain medication. I wish you luck in finding at least bearable or low pain days if 'no pain days' aren't an option.
I want to clarify a few things,people are commenting here,with all Respect to the readers,I have been taking tramadol,since being in a car accident in 2008,and never wanted to be prescribed Percocet or anything stronger.I settled on tramadol.many people say that that all tramadol work the same,and that's totally false,because of the different manufacturing of the tramadol,the oval shape ouyi 101 and the oblong shape 377 gave me a sluggish feeling.On the other hand the round 627/319 are the best,NOT because of strength but because is more smooth to your system and works with the pain.that ouyi 101 is horrible and the oblong 377 is in between,THE ROUND 627 AND 319 TRAMADOL ARE UNDOUBTEDLY THE BEST"!
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