I'm on Tramadol ER (200 mg) and have a script of Tramadol (for the break thru pains). It (regular Tramadol)says every 6 hours. Most days, I only use 1-2 during the afternoon. Some days, however, I take 4-5. is there anything else that can be prescribed? It does work, but, if I'm in a lot of pain, I have to take 1 more. Anyone else have this problem?