Hello All,

I now have break thru meds for my horrific pain flare that I have been dealing with. I don't know how good they will work;however, I am excited to have something that may help me with this break thru pain.

I have to stop the Ultram ER 300 mg., and start one Ultram 50 mg every 6 hrs(instant release). I am to con't my Opana ER 20 mg x 2, and all my other meds.

The script instructions state take 2 Ultram 50 mg, every 6 hrs as needed for pain. The doc prescribed 90 tablets.

Hmmm, when I do the math,2 tablets every 6 hrs= 8 tablets x 30 days = 240 tablets.



I will see my PM on 7/7/09, 30 days from today. Do you think I need to call doc back and share the script dose vs. the dose I was told to take by his office;also, the number of pills do not add up to what I will require before I see him in 7/7/09???

I must say that I still feel the break thru pain..may be it takes time to get into my system???


Dew