Hopefully some of you guys remember me- I've been away from the boards for a bit, which is actually a good sign as I've really been working hard to get some normalcy in my "after pain" life...
My question is this: I started on daily 100 mg tramadol ER about 6 months ago and did *great* on it. Excellent pain control, minimal side effects. Around the end of the year it seemed to not be working as well, so my doctor and I decided to bump up to the 200 mg to see if that would be better.
I've been on the 200 mg about 6 weeks now, and in terms of pain levels I'm not really noticing any difference. I'm also emotionally very off- just kind of flat and not myself.
I'm not sure how long to stick with this before going back to the doctor to re-evaluate things. I know with the SSRI element you have to give it time, but I'm thinking by 6 weeks I should be pretty much there. Has anyone ever gone from the 100 to the 200? What was your experience like? Any advice/feedback is appreciated