Hi, I'm taking 200mg extended release Tramadol per day. It doesn't seem to be helping anymore, and?

I’ve taken Tramadol, & it wasn’t helpful for me. However, my cousin took this medication with much success. What I do in these cases is type an email/Fax to my doc. If you don’t have access to a computer or fax, a hand written note will work just the same. Make yourself a copy, slip it in the mail, or drop it off in person if you live close to your doc. In the subject line, in CAPS put your name, DOB & the crucial words: “Add This To My File.” This ensures that your doc will have to look at it. Not saying the nurse isn’t competent, but on certain things such as this, you need the doc to read the email & actually be the one giving the advice. Always include your date of birth, address, phone number, along with the name of the prescription, plus milligrams & how long you’ve been taking it, as well as your symptoms, i.e., the Tramadol isn’t working.

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Hi, do you take your medication once or twice a day? Basically, i would advise you to reduce your dose by 50mg for a period of 7-10 days (this is the time frame i used when discontinuing successfully), taking it down to 150mg. If you take your Tramadol once daily, then it is simple, if you take it twice daily, i would advise taking 100mg in the morning & 50mg at night. After the 7-10 days is up, reduce by 50mg again for the same time period. If you take your Tramadol twice daily reduce the morning dose, so you are now taking 50mg twice daily. Next reduce by a further 50mg, for 7-10 days again, if taking you medication twice a day cut out your night time dose. When you get past the 7-10 day time frame on your final 50mg dose, take it every other day for a week or 2, then finally stop completely. I'm hoping this will work out well for you. Fyi, you will need to get some 50mg (XR) tablets as you can't break extended release tablets, it can be dangerous.

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