ive heard that redosing small amounts of tramadol ever hr or so makes the opiod effect stronger
at 400mg the SNRI out weight the opiod effect.
try taking 100mg of tram, than 50mg extra every 45mins
at about 100 the opiod effect is equal to the snri effect (approx)
400mg at once is bascailly not getting the opiod effect stronger but making the SNRI effect stronger. which can be unconfertably stimulating.
correct me if im wrong but redosing every 45mins will get u feelin better.
I actually enjoyed tramadol at 100-150mg the most. cuz i dont like the strong snri effect as much as the opiod effect. & if ya not happy redose small a ount every 45 mins. to get the pain killing effect rather than a manic od on an snri