l started taking 100mg tramadol hcl XR, could l take a tramadol 50mg in between if back pain gets unbearable?
Tramadol is different than the other opioids in providing coverage using the IR for BTP (breakthrough pain) between doses of the LA same drug.
You didn’t mention what type of pain you are having but there are two conversations for your doctor.
1) Increase the XR dose Tramadol.
2) Depending on the type of pain :
Use Lyrica, Gabapentin, Cymbalta to intensify the effectiveness by treating neurological pain.
Use Acetaminophen with the XR Tramadol. It really does work !
FYI... NEVER take more than 4grams of Acetaminophen a day which may cause liver damage.
Acetaminophen regular is 325 mg / per tablet. Extra strength is 500 mg / per tablet.
Acetaminophen is also contained in several OTC meds for sleep, cough, etc. Read all OTCs that your taking and calculate the Acetaminophen content with the tabs you are using for pain.
Ibuprofen is another med you can use in conjunction with your Tramadol.
Don’t wait (suffering) until your next appointment. Call your doctor and discuss the problem.Mentally, the waiting for doc appointments and then waiting for meds to get to desired doses will take its toll on you.
Never take more pain meds than ordered or you will be labeled noncompliant AND more importantly, you will run short at the end of the month and suffer withdrawal.
If you signed a contract, they may “fire” you from their practice and you may have problems finding another pain specialist to take you on.
It sounds very stern but it’s the way things work nowadays.
In fact, it’s the doctor ‘s responsibility to be proactive in getting to that “sweet spot” where your life isnt consumed by pain.
Or they fail by not being open to phone calls to acknowledge your response to your med regime.
Do NOT take a script from anyone else without it being approved doctor-to-doctor. This includes ER and dental visits.
2 more cents :
Do yourself a favor and download a Daily Pain or Symptom Diary.
Pain specialist NEED facts because they cannot "see" your pain.
Get into the habit of recording your pain levels (0-10), sleep hours, trigger points - eating, activity, stress, etc.
Not will provide him the info needed to determine the effectiveness of the meds.
A notebook would work well too.
Be consistent as to what makes your pain worse.
What do you do that makes it better?
They like to see you are searching for answers if you try alternatives like deep breathing, mindfulness, meditation, massage, cognitive behavioral therapy (CBT), etc. It will show your not reaching for pills as your first response.
Btw... alternatives DO help in giving you a feeling of control over the situation.
I hope this helped.
- Tramadol Information for Consumers
- Tramadol Information for Healthcare Professionals (includes dosage details)
- Side Effects of Tramadol (detailed)
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