A safe dose of Tramadol

[gomakemeasandwich]

I take a stronger opioid for chronic pain, but I'm afraid my doctor is going to cut me off of what has allowed me to function normally for the past couple of months (I'm pissed as you can guess). My concern is that while I look for a new doctor, or possibility a pain management clinic, I will need some type of painkiller to function. I've been prescribed everything from naproxen to baclofen, but nothing seems to work except what I'm currently on (Norco). I also happen to have a decent supply of Tramadol prescribed by my doctor because he's sure that it works as well as Norco and isn't addictive (yeah right, the reality is that Tramadol is unscheduled so he can script away without worrying about the DEA), so my question is, if I run out of pain medication before I get settled in with a new doctor, what is a safe dose of Tramadol to take at once? I've read that it's only supposed to be 100mg at a time and no more than 400mg a day, or else you'll get seizures. I've also read studies where they have given patients up to 200mg of tramadol at a time, so I am a little confused. 100mg of Tramadol right now does nothing for me (as you might have guessed), so I figure that I will have to increase the dosage. The question is really how much is safe for pain management (not to get high) at a time and per day? I was hoping someone or several people who have taken tramadol could help me out with this question. Thanks for your time.

Also, I tried the search engine and came up with little from a PM standpoint. If you happen to find thread dealing with this issue already, I will have no problems taking a look at it.

 

[nite2]

It made me suffer some kind of withdrawl, when I started smoking again(strange, isn´t it?) and it´s more an anti-depressive, than a pain-killer acting through delta- and kappa opioid receptors and 5-HT excited Noradrenaline secretion in the raphe nuclei, which is, IMHO, the main action of pain-inhibition, not the slight well-being effect of the delta- and kappa agonism.

Some are telling they´re taking 800mg/day, I´m on the edge of a serotonine-syndrom with about 400mg/day, so it´s interindividual, recreationally, one might expect effects at a dose as low as 12mg and seldomly needs more than 75mg (if one is not used to opiates).

Tramadol is imho rather useless for longterm paintreatment( but which doc gives something about 1st hand experiences?) and potent µ-agonists are safer and do the job better, with a lower dose and fewer sides (as it´s the rule with medicine, the more potent, the lower the dose, the fewer the sides).

I swap it with amphetamines, sometimes, (I´m now on a more potent opiate, tilidine) to avoid depedency with withdrawls. (the tramadol-withdrawl was no fun and it was the first and I want to avoid it.

All the best, nite2

 

[the_ketaman]

When I take trams I use between 300-400mg, but I only dose once in a day. I think more than 450mg a day is getting into the danger zone. Have a search, you should be able to find some useful info on bluelight. Erowid might have some info too.

 

[gomakemeasandwich]

It made me suffer some kind of withdrawl, when I started smoking again(strange, isn´t it?) and it´s more an anti-depressive, than a pain-killer acting through delta- and kappa opioid receptors and 5-HT excited Noradrenaline secretion in the raphe nuclei, which is, IMHO, the main action of pain-inhibition, not the slight well-being effect of the delta- and kappa agonism.

Some are telling they´re taking 800mg/day, I´m on the edge of a serotonine-syndrom with about 400mg/day, so it´s interindividual, recreationally, one might expect effects at a dose as low as 12mg and seldomly needs more than 75mg (if one is not used to opiates).

Tramadol is imho rather useless for longterm paintreatment( but which doc gives something about 1st hand experiences?) and potent µ-agonists are safer and do the job better, with a lower dose and fewer sides (as it´s the rule with medicine, the more potent, the lower the dose, the fewer the sides).

I swap it with amphetamines, sometimes, (I´m now on a more potent opiate, tilidine) to avoid depedency with withdrawls. (the tramadol-withdrawl was no fun and it was the first and I want to avoid it.

All the best, nite2

Thanks for your answer. I'm just trying to use it as a bridge until a find a new doctor. I don't plan on using it long term, and would agree with your statement. Unfortunately 75mg does nothing for me, as does 100mg paired with 1000mg of Tylenol. Anyway, thanks again.

 

[gomakemeasandwich]

When I take trams I use between 300-400mg, but I only dose once in a day. I think more than 450mg a day is getting into the danger zone. Have a search, you should be able to find some useful info on bluelight. Erowid might have some info too.

Honestly I couldn't anything related to actual PM, just how much you could take to get fucked up. Thanks for the info at any rate.

 

[TonyBKK]

I’ve done up to 1000mg at a time with some xanax and valium and haven’t had any problems with seizures, but I’ve known people to do as little as 300mg and suffer seizures so I guess its up to the individual. Build up slowly and see what works best for you (for PM), and remember everyone is different.

 

[phatass]

depends on the person... 400mg is the average cut off rate for a day (taken at once or in several doses i think)

 

[trichr0me]

I suggest you just goto a RX website and look at the dosing information, it will tell you what age of what people are supposed to start on what dose, thats what I go by when I am dosing with a new drug.

 

[gomakemeasandwich]

I suggest you just goto a RX website and look at the dosing information, it will tell you what age of what people are supposed to start on what dose, thats what I go by when I am dosing with a new drug.

That's a good suggestion, but I actually already did that. I was also prescribed it with dosing instructions, which I have followed to the recommend limit of 100mg every four hours (I was told to start at 50mg and then move up to 100mg every four hours). Thanks for your help.

 

[gomakemeasandwich]

I’ve done up to 1000mg at a time with some xanax and valium and haven’t had any problems with seizures, but I’ve known people to do as little as 300mg and suffer seizures so I guess its up to the individual. Build up slowly and see what works best for you (for PM), and remember everyone is different.

Good suggestion, thank you for your input.

 

[hexxx]

I've taken 300mg to relieve pain (and 500mg recreationally) and although it isn't safe I find it's quite an effective pain killer at those doses. I take it with Lyrica (has an anti seizure effect) so my chances of having a seizure are minimized, or at least I feel somewhat safer. I've taken up to 1000mg in a day before, along with 450mg Lyrica.

Tramadol only targets certain pain for me, I find it helps with sharp, cutting pain but not dull bone aching pain, for that dihydrocodeine works well.

 

[I_Stay_Dead]

I really think it depends whether you're prone to seizures. I've taken one gramme without any problems - actually I think this was a bit high but I didn't get seizures. For me the best dose was about 600-800 mg. A lot of people seem to be paranoid about getting seizures from tramadol. If you've never had seizures before then just try 400 mg to start with, and work your way up...

 

[I_Stay_Dead]

Tramadol only targets certain pain for me, I find it helps with sharp, cutting pain but not dull bone aching pain, for that dihydrocodeine works well.

I've taken both - neither relieved my pain (at the prescribed dose,) but both helped my mood. Tramadol was the better of the two for my mood.

 

[sixpartseven]

Where did you hear that you can only take 100mg at once? You can take as much as you need at once, but you shouldnt exceed 450mg a day. If that means you take all 400mg at once time, then that would be ok, it would just mean you cant take anymore that day. Try increasing your dose to 150mg or 200mg. If that doesnt work well enough, bring it up by 25mg or 50mg until you get the relief you need. Just dont exceed 450mg in a day.

 

[Pillthrill]

Well it kinda just depends on the person. I've always heard the hard and fast 400mg rule, but I have also heard of ppl having seizures at 200mg. Personally I've taken a whole gram of the stuff and didn't suffer a seizure. I guess if you have one, quit taking it or as much...*shrug*

 

[sonic]

I agree with the 400mg/day rule. I used to find tramadol to be more pleasurable in lower doses. I found an optimal dose to be 75-125mg at once. Anymore than that and I'd feel more of the unwanted SNRI effects and less of the opiate effects. Of course I would often re-dose, but I wouldn't ever want to go over 400mg/day. The people who take more are asking for trouble. Just because you do a high dose of a drug once or even 10 times and don't suffer a negative consequence doesn't mean that you're immune. 600-800mg can definitely be in the danger zone for a lot of people IMHO.

 

[Samadhi]

Well it kinda just depends on the person. I've always heard the hard and fast 400mg rule, but I have also heard of ppl having seizures at 200mg. Personally I've taken a whole gram of the stuff and didn't suffer a seizure. I guess if you have one, quit taking it or as much...*shrug*

This is true and a very close friend of mine had a seizure after taking a similar amount (will have to confirm the dose). What made it worse was that, during the seizure, he fell back onto a desk or bookcase and fractured his spine. He's ok (best case scenario for a fractured spine) but is in a lot of pain now, and will be until it heals. After CT scans, an MRI and EEG readings all showed no anomalies in the brain, so the doctor concluded that the high dose of tramadol triggered it.

Be careful.

 

[pinpoint]

i was trying to count how many times this question has been asked before but i ran out of numbers.

 

[nile420]

I take a stronger opioid for chronic pain, but I'm afraid my doctor is going to cut me off of what has allowed me to function normally for the past couple of months (I'm pissed as you can guess). My concern is that while I look for a new doctor, or possibility a pain management clinic, I will need some type of painkiller to function. I've been prescribed everything from naproxen to baclofen, but nothing seems to work except what I'm currently on (Norco). I also happen to have a decent supply of Tramadol prescribed by my doctor because he's sure that it works as well as Norco and isn't addictive (yeah right, the reality is that Tramadol is unscheduled so he can script away without worrying about the DEA), so my question is, if I run out of pain medication before I get settled in with a new doctor, what is a safe dose of Tramadol to take at once? I've read that it's only supposed to be 100mg at a time and no more than 400mg a day, or else you'll get seizures. I've also read studies where they have given patients up to 200mg of tramadol at a time, so I am a little confused. 100mg of Tramadol right now does nothing for me (as you might have guessed), so I figure that I will have to increase the dosage. The question is really how much is safe for pain management (not to get high) at a time and per day? I was hoping someone or several people who have taken tramadol could help me out with this question. Thanks for your time.

Also, I tried the search engine and came up with little from a PM standpoint. If you happen to find thread dealing with this issue already, I will have no problems taking a look at it.

2000mg's of tramadol is around 30.000mg's, im pretty sure, LMAO JK please do not take that seriously it was a joke.

anyway, i would say 200mg's would be a good dose. cya