Well the doc told me "you can take one more pill" so that's 37.5mg extra tramadol per day (the original prescription was 3x per day, so that totals at 112.5mg tramadol) . She also told me I can take acetaminophen pills in between, and also combine them with the diclofenac I initially got. I told her that's exactly what I've been doing, but she accused me of "going around in circles" and asking the same thing. What the fuck? The doc gave me advice that was exactly the pain regimen I'd been following for the past week (minus one 37.5mg dose of tramadol, and her idea was to space out 4 pills over one day - I said 3 pills at once did not provide sufficient relief). It's like, "I've been doing exactly what you told me to do. That's why I'm sitting here in fronta you today. IT DOES NOT WORK."
Fuck that, I'm going to a new doctor on Monday, if the pain persists. This is bullshit. I'm not gonna eat handfuls of 37.5/325 tramadol/APAP pills to cure this pain; if the next step is morphine, then give me morphine. Or at least fuckin' stronger trams.
This country also knows no muscle relaxants (no tizanidine, no carisoprodol, nothing) other than benzos, which they won't prescribe 'cause of addictivity.