... ten years and slowly increasing the dose to this level... Recently I had a stent fitted, because of this I am on quite a few medicines, blood thinners and a beta blocker..Aslo of course I am just one tramadol away from the maximum dose... I started on the tramadol originally after a hip replacement that went badly wrong and (this was ten years ago) I've been in pain ever since. It also helps me with mood and energy levels in a positive way, I need that help badly, having a husband who's been diagnosed with dementia and Parkinson's ... I know I have to cut down on the tramadol, otherwise I will be taking the max dose and nowhere to go once that's reached... Any advice would be appreciated..Thank you...