I have read that the seizure threshold limit is 200mg....what a worthless piece of shit of a fake opiate drug this is.
Agreed, but it's not TOTALLY worthless, it's really helpful in the veterinary field (I wonder about the seizure threshold effect and how/whether it differs from humans vs animal use) and for people who do have pain but it's so mild (compared to ppl with other, more severe pain syndromes) that they don't need a more potent opioid. I really hate tramadol personally because someone with my opioid tolerance simply can't take tramadol even with anti-convulsants as an adjunct safely because the doses would be so high that there is often severe side effects that ruin everything, and there really isn't much desired effects produced TO ruin, in my experience using it as directed for pain (I think I called the doctors three days later because it wouldn't do anything for my pain and it gave me strange side effects, headaches I think.... it's been a long time since I've taken tramadol.) and in attempts to make something recreational and failing to do so every time. The only worthwhile part of it is it's O-Desmethyltramadol metabolite, which was really popular when it hit the online RC vendor industry, and I thought that it was not half bad, it was damn strong but I still prefer my classical opioids over these weird synthetic derivatives.
I'm not sure why you were prescribed tramadol, you probably went into your normal doctors office for help with pain and the doctors are very cautious and catch on rapidly to patients who clearly are seeking the drugs that the doctors see being abused due to media hype and social stigma, and by default start all patients on tramadol thinking that an addict would immediately complain, but a legitimate patient would be willing to try it.
This makes no sense because most pain patients know a thing or two about pain medication and narcotics in general. Knowing that it is like a thousandth of the potency of morphine is freely available information, but doctors tend to treat people who can pronounce a drugs proper generic name with suspicion instead of adapting and realizing they can have a better more in depth, less watered-down conversation about the risks vs rewards with different medications and other forms of treatment including non-medication ones.
<...snip...> Tramadol can be a very recreational substance for some people with the right metabolism and who do not have a large tolerance towards (other) opiates.
On the other side it can be pretty worthless for poor metabolizers and addicts of higher potent opis.
However: Do not take more than 400mg a day and don't mix it with uppers or serotonergic substances.
These are two other reasons why I think it's not an effective medication. I'm definitely a "poor metabolizer" so I guess I don't metabolize enough into O-DT. And I wanted to point out something else, you said it's worthless for addicts.... but it's also very possible and often likely to be worthless to legitimate chronic pain patients as well, and expressing this makes many doctors suspect the patient is drug seeking when they may just well be!
Because MAYBE, a chronic pain patient knows a thing or two about pain management and the other options out there, MAYBE they've done some research about their individual diagnoses and how they are most commonly treated, cured, or managed, and opioid analgesics are indicated for many conditions but the government agency is cracking down on opioids, HARD.
Many legitimate patients nationwide are being taken off of opioids, or having drastic dose reductions due to increasing recent pressure from that organization/agency on prescribing physicians, who don't want to lose their DEA# AKA their license to prescribe controlled substances. Most doctors don't want to throw away the million dollar education they paid for and would rather be "safe" than sorry, even at the cost of the patient's quality of life.
