stepchild
Bluelighter
- Joined
- Dec 2, 2004
- Messages
- 222
a few points:
1. tramadol is an excellent pain killer for mild to moderate pain, BUT, its best use is in combination with another pain killer (such as paracetamol/acetominophen). this is perhaps why you may have found its pain relief activity not quite sufficient for your needs. i would recommend 1g of paracetamol 6 hourly (max 4g per day) along with tramadol 100mg every 6 hours (max 400mg per day - DO NOT exceed this. if you are older than 65 first of all, good for you for using bluelight! and also decrease that dose to 300mg. same goes for if you have dodgy kidneys)
see:
McQuay H. Edwards J. Meta-analysis of single dose oral tramadol plus acetaminophen in acute postoperative pain. European Journal of Anaesthesiology - Supplement. 28:19-22, 2003.
for more info on its synergistic effect with paracetamol
2. opioids are very addictive, in my experience, people are more likely to become addicted to morphine or oxycodone far more quickly than to heroin or cigarettes. in addition to this, contrary to popular belief, an addiction to opioids such as morphine etc is just as hard to shake as an addiction to heroin.
3. people who come in for opioids (whether it be in the ED or in general practice) are easy to spot for several reasons: they ask for drugs by name (ie pethidine, ms contin etc), they arent very good actors and they look dodgy (!) so in short, dont waste your time, doc-shopping shits me and it wastes doctors valuable time and they aint stupid! (steps off his soap-box)
4. if you need a strong pain killer you will be given it, doctors arent bastards, if you need strong pain relief you will be given it. BUT, if you honestly think it isnt working for you GO BACK TO THE SAME DOCTOR! from experience, a doctor is less likely to up the pain killer dose if they know you have already seen a few doctors with the same complaint.
1. tramadol is an excellent pain killer for mild to moderate pain, BUT, its best use is in combination with another pain killer (such as paracetamol/acetominophen). this is perhaps why you may have found its pain relief activity not quite sufficient for your needs. i would recommend 1g of paracetamol 6 hourly (max 4g per day) along with tramadol 100mg every 6 hours (max 400mg per day - DO NOT exceed this. if you are older than 65 first of all, good for you for using bluelight! and also decrease that dose to 300mg. same goes for if you have dodgy kidneys)
see:
McQuay H. Edwards J. Meta-analysis of single dose oral tramadol plus acetaminophen in acute postoperative pain. European Journal of Anaesthesiology - Supplement. 28:19-22, 2003.
for more info on its synergistic effect with paracetamol
2. opioids are very addictive, in my experience, people are more likely to become addicted to morphine or oxycodone far more quickly than to heroin or cigarettes. in addition to this, contrary to popular belief, an addiction to opioids such as morphine etc is just as hard to shake as an addiction to heroin.
3. people who come in for opioids (whether it be in the ED or in general practice) are easy to spot for several reasons: they ask for drugs by name (ie pethidine, ms contin etc), they arent very good actors and they look dodgy (!) so in short, dont waste your time, doc-shopping shits me and it wastes doctors valuable time and they aint stupid! (steps off his soap-box)
4. if you need a strong pain killer you will be given it, doctors arent bastards, if you need strong pain relief you will be given it. BUT, if you honestly think it isnt working for you GO BACK TO THE SAME DOCTOR! from experience, a doctor is less likely to up the pain killer dose if they know you have already seen a few doctors with the same complaint.
