I have no doubts. That's usually why they prescribe a maintainance med plus one for breakthrough pain. Sometimes the breakthrough med (as in your case) is the same as the maintainance (or longer-lasting) med, and sometimes they're different meds. Every case is different.

Sure. Any other analgesic. It's a fairly large pharmacopoeia. People can tell you what works for them, but because everyone is different, that doesn't really help with what may work for you. Doctors often start with what they know works with the greatest number of their patients similar to you, and then make changes/adjustments depending on the patients' feedback. Some trial & error may be involved.

Doc

Ed I started on 50 mg of tramadol and it was very strong at the time.
I just took 300mg in the last 24 hours after my feet really swelled up on a plane trip.
Can barley notice the 3OOmg although it has helped with the pain.

Im on around 200 mg a day average and have built up a tolerance

Hi
I took Tramadol for almost 10 years. Sometimes needed extra if I did too much, sometimes I gotta do stuff.
I stayed at same dose of first 50-75-100 daily yet went to 75 with back up 25 bc not wanting to go up.
Pain got worse, moods rapid changes, exhausted and irritable.

It is Tolerance Withdrawals and can cause increases in pain.
I learned more so now am in withdrawal on a taper to quit.
It ruined my stomach and impacted my mental health.

I got it compound at pharmacy into a liquid. Doing okay down to last 22 mg, started taper in April.

I use alternative pain management.

Love to connect with others going through or went through a Tramadol taper!

I personally don’t want to be on meds. I still take lots of Neurotin, yet one thing at a time!

Wellness,