[QUOTE=jarrett622;1095031]When I first started the Ultram (Tramadol) constipation was an issue. I've been on it for 5 or 6 years now and that's never an issue anymore. If you take it regularly I think you're better off from that perspective. Increase fluid and fiber intake at first. It helps. Thinking back, trying to remember, it seems it was just about a month of regular use when the constipation eased.

For me, Ultram was a life saver. It mutes the the shooting - stabbing pain. Most of the burning too.

ETA: I had forgotten another side effect that wears off over time: The nausea. Don't take it on an empty stomach if that's a problem for you. It doesn't do that to me anymore.

Hi Jarrett
I started taking Tramadol around 4 mos ago for neuropathic pain caused by Idiopathic small fiber neuropathy. I was hesitant at first bc I didn't want to become "addicted" to it. I take 50-75 mgs a day/as needed. (And I need it everyday!) I know I need to increase it. Trying to increase it slowly because of SE. Chest pain and pressure is my only SE. I take Miralax for constipation, which works well, if anyone else is interested. I also take 300 mgs Lyrica for the pain which is not helping!
How much Tramadol do you take? You say its been a lifesaver and helps with your shooting/stabbing/burning pain. I wish it would help with my buzzing/tingling/stabbing/ burning pain the way it helps you. Do you have any other symptoms? Do you take anything else with the Tramadol? Sorry for all the questions. Still struggling to find a med/combo for this dreadful pain. Thanks!