Hello! Ive been on tramadols 3-4 years now 150mg depot morning and 150mg evening. But i have started to get sick every morning i feel bad and my stoumach hurts i believe becouse tramadol is wearing down. Today my doctor called and she gave me lots of fast release 50mg pills for mornings and maybe evening too becouse the description says 1-2 daily on top of 300mg retard. I suppse im gonna feel better now cheers, but now im at maxium 400mg daily dosage. I need them for my backpain but im only 29 yo what are the longterm effects? Im gonna keep using it becouse i hate the pain and tramadol makes me happier and more normal but i fear for my health and tolerance will catch up even 400mg daily dosage? The 50mg pills are quite potent but wont last for long. If they stop working i dunno what to do. I get withdrawls even on medication and if i stop cold turkey its suffering in its purest meaning. It may even be imposible at this point. Any thoughts about backpain and tramadols? Am i married to this drug for the rest of my life. Ive been losing weight as my doctor told me but the pain has only got worse and im at my coal very soon which is 100kg. Thanks for reading my horrible english