Hi guys,

thanks for the info I pretty much understand all that you have written and been on the tramacet as it is called here in canada....is tramadol with tylenol....and due to 5 day rule can't get on my drug plan anymore....and don't want to take that much tylenol ....trying to at least protect my liver....lol

I am on 400mg of the long acting tramadol....not sure if it is approved in usa yet....just approved here last month.....so it is called zytram xl and it comes in 150, 200 and 400mg sizes.....studies say 250-350 is optimal dose for OA pts...but we are a different story...I relally like the way it works and am trying to avoid narcs again....been there done that don't want to do it again......lol

so I want the short acting which I have found out is not yet approved here yet as a breakthrough dose to take when I still feel pain on the long acting. It is so nice to only have to take one pill for 24hrs of relief...or dulling the pain anyway still a 6-8 on bad days...like just did ironing with breaks.....and now feel like an 8/10 ahhhhh

sorry don't know the doses...but when I took the one with tylenol I was taking 75mg of the tramadol alone (excluding the tylenol in my drug) every four hours but the long acting is better as it avoids the ups and downs of drug peaks and wearing off.....etc etc.....

so thanks for all the input I appreciate it guys

love and hugs,
Victoria