... I have been taking tramadol 50 mg. for my back pain for several years. I have to take some every day. Sometimes I only need 4-5 pills a day and other times when it's worse I need 8-9 pills a day. Would the extended release tabs in a higher dose (200 mg.) be just as effective as 4 regular 50 mg. tabs at once? The regular tabs work well when I take 3-4 at a time, I just hate taking so many pills at once -- but it does control the pain. Would an extended release form be as effective at quickly relieving my pain as the 50 mg. are or would the "extended release" part of it slow down the medication getting into my system thereby making it not work as well? Sorry, I hope my question makes sense. Just wondering if I should bring up the idea of switching to my Doc at my next appt. Any opinions would be appreciated!