Hi Dahlek, wow, that's a BIG ask from the docs, now that is affecting your sleep and increasing muscle fasculations, I hope you let them know that you are reaching YOUR baseline limits before it becomes to uncomfortable for you.

I suddenly stopped taken my 200mg x 2 tabs of Tramadol a day, but you know my story, it was time to do it, i didn't have any side affects from stopping that drug, but i am concerned about my friend from the US suffering to much.
take care
Brian