I've got a few questions for tramadol ER people...It looks like tramadol ER is going to be my baseline med because the Nucynta is giving me some issues. I'll probably be mixing it with a low dose of Savella which is supposed to help with energy and drowsiness (yes, my PM doc is supervising the combo of these drugs).
1) What time of day do you take tramadol ER (the generic Ultram ER, not Ryzolt). I saw a little graph that shows it hits its peak plasma concentration at 10 hours, so I'm wondering if I should be taking it in the middle of the night so it'll hit its peak in the morning? My doctor said it doesn't really matter when I take it, but that if it were him he'd stick with taking it in the AM. Is there a time when you take it that works best?
2) I was started on 200 mg. It's the equivalent of 4- 50 mg tablets/day which is why my doc started me on that dosage. I'm pretty small, though, so I'm going to ask my doctor if it'd be worthwhile to give the 100 mg strength a shot. Did you guys start at 100 mg?? Is there a big pain relief difference between 100 mg and 200 mg (the 200 just takes the edge off so I'm not sure the 100 would help enough)?
3) What is your breakthrough med? My PM doc said just a tylenol can boost the effectiveness which is cool, but I think he'll also give me something stronger for breakthrough.
4) Anyone tried Ryzolt verus Ultram ER...I've read the propaganda from the Ryzolt people and the time release technology does look superior to the generic ultram ER as far as providing higher plasma concentrations for a longer period of time. There's a huge price difference though, so it hardly seems worth it. I was just curious if anyone has tried this semi-new Ryzolt stuff...
I know I always have a million and one questions (haha, HappyHBMom, I bet you didn't think I'd be able to come up with anything else to ask about tramadol).