I am currently taking 50mg BD of Tramadol (1x 50mg of regular Tramadol and 1 x 50mg of slow release) with minimal side effects….however until a few months ago I had a foray into Tramadol 100mgs BD and developed significant Myoclonic Jerks almost from the first dose.

As a result of the jerks I had to reduce the Tramadol by half but commensurately increased my Paracetamol intake to the maximum amount per day, unfortunately!

One of my concerns is what I will do if I require more analgesia in the future as it is obvious I will not be able to increase my Tramadol dosage beyond 100mgs per day.

I am additionally on 300mg of Lyrica daily which I take before bed due to feeling like a zombie otherwise.

Tramadol is a controlled substance in Australia which means that no repeat prescriptions are issued, so a revisit to the doctor for each new script is required, which can be a real pain!

Megan, Hi Im an aussie living in Thailand. That would be a pain! have you tried slowly tit-rating up to 100mg?
Most chemists in Asia will sell it across the counter here