My new pain dr has me on oxy 20 mg every 8 hours and 10mg percucet up to three a day for break thru pain. My old dr was giving me the same oxy plus tramadol and it worked pretty good my question is this...can I take the tramadol with my other break thru med? I mean should I ask my new dr about it? They helped (not as well as the percucets) but now I think I need to increase either my oxy or more break thru med and I'm just wondering if I added a tramadol with a percucet maybe I would not have to go up on my other dosages. Any advise would be great!