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Dose - Best way to take Tramadol?

Discussion in 'Tramadol' started by CCApollo, Apr 1, 2010.

  1. CCApollo

    CCApollo Silver Member

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    OK, SWIM is looking for some advice on how to take his Tramadol. He's got an idea he wants to pass by his fellow SWIMmers.

    Right now, it's taking a full 500mg for the Tramadol to help SWIM. The problem is this amount is over his daily total, and the effects last about 4-6 hours. So now the meds have worn off, but SWIM's head hurts, and wants it to stop. Obviously SWIM shouldn't re-dose today, so it seems like he's screwed.

    So SWIM is trying to find a better dosing schedule for himself, to achieve maximum duration of pain relief. He's thinking maybe if he takes a medium size dose at first sign of pain, and then increase it every 30 min. by 100 mg until he receives adequate relief (or hits his limit) might extend the length of the pain relief. Start off with a dose of 300mg, and take another 100 30 min. later, and repeat once more.

    The problem is, SWIM doesn't get any effects from anything less than 500mg at once. He doesn't want to waste meds by not taking enough, so he's reluctant to try this, but he needs to find a solution.

    Any comments on this? SWIM could really use the help here.

    Thanks fellow SWIMmers
     
  2. Helene

    Helene Gold Member

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    I imagine that you are aware of the seizure risks associated with this high a dose of tramadol, but in case you are not - the maximum safe daily dose of tramadol is 400mg. Opiate tolerance bears no effect on this maximum, as it is linked to tramadol's tendency to decrease ones seizure threshold, not to its opiate effects.

    If doses of tramadol up to 400mg are not working for pain relief, you should swicth to another opiate, such as codeine, dihydrocodeine, or hydrocodone. It really is not worth risking a seizure, especially considering the fact that tramadol doesn't seem to be working in terms on analgesia anyway.

    H
     
  3. Sassy88

    Sassy88 Silver Member

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    My pet ferret agrees that 500mg is a very large dose ! If swiy isn't getting decent relief, she suspects tramadol might not be the best painkiller. She also adds that taking a large loading dose is probably the worst way to take tramadol. This drug works best in smaller increments ( 50 mg at a time ), taken every couple of hours or so. That way the drug continues to peak at regular intervals.
     
  4. EricB

    EricB

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    My leopard is suffering from arthritis since he is 20....
    The vet prescribed him some tramadol back in 2002. He thinks taking 3 x 50 mg is a good dose for pain and gives him some good relaxation + some physical and mental stimulation.
    Most of the time he is taking tramadol in the begining of the afternoon with no food.
    He thinks taking more than 150 mg is useless and could be dangerous.
    For him Tramadol is the best pain killer. He took some morphine twice back in 2002 for a back hernia but morphine gave him strong nausea....
     
  5. mjfrommn

    mjfrommn Silver Member

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    SWIM is prescribed 100 mg of time-release tramadol and up to 300 mg of rapid-release tramadol daily. Warned not to exceed 400 mg. per day, and SWIM attempts to limit total dose to 300 mg per day.

    Would it be possible to switch to some time-release form of the medicine? SWIM is considering asking for 100 mg. time-release at night and another 100 mg. time-release in the morning to help even out effect of the medicine. Then there would be another 100-200 mg. available in the rapid-release form.

    Agreed with other posters that tramadol is not the sort of drug where "more is better", at least in most cases. SWIM often takes 1 tramadol with 1 extra-strength Tylenol or 2-3 aspirin, for instance. The tramadol is like a booster for the OTC medicine, and it works very well.
     
  6. Sassy88

    Sassy88 Silver Member

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    My pet ferret agrees tramadol seems to work better as a booster for other drugs/OTC painkillers for better pain relief.