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Carol, this sounds really bad. What did your doctor say when you asked him

what would happen to the pain? What strength of Lortab are/were you taking?

Are/Were they working well? Is he expecting you to quit cold turkey?

It's second opinion time either from a rheumatologist or a pain management

specialist.

Doctors who are considerate and caring don't expect their patients to suffer

when there is treatment available for their pain.

Not an MD

I'll tell you where to go!

Mayo Clinic in Rochester

http://www.mayoclinic.org/rochester

s Hopkins Medicine

http://www.hopkinsmedicine.org

[ ] Help-I need support

> Dear Family,

> I feel like you are my family because I can always run to you and you know

> how I feel. Since I broke my leg and it healed shorter than the " good "

> leg I

> have had a tremendous amount of pain. I did not realize that I was

> taking

> more pain meds - Lortabs - 5 per day than I normally did. I have been

> unconsciously doing this for about 1 year and my Dr. called me into his

> office today

> to say he needed to help me stop???? I asked him what would happen with

> the

> pain??? He just had to take away Celebrex due to Insurance regulations

> and

> Mobic didn't work, Lodine worked for about 1 hour after I took it????So

> now he

> is putting me on Cymbalta, 60mg per day; Motrin 600 mg 4 times per day;

> Tramadol for break thru pain. I am stopping the Lodine, but forgot to ask

> if I

> should stop taking Effexor or Neurontin...he Rx'd them for me so he

> knows what

> I am taking. He says he realizes I have pain and says that I have

> advanced

> RA and MCTD but he says my body is conditioned to this high level of pain

> meds

> and I need to come down so they will work in the future when I will need

> them more? He says I have severe rheumatoid neuropathy? I trust my Dr,

> but I

> am upset because in the beginning I didn't want to take the Lortab

> because I

> didn't want to be where I am today! He told me I had to?? The only

> comfort

> is that I know I can call him and he will help meif I need anything. I

> just

> feel very, very frustrated, sometime I feel like stopping EVERYTHING. No

> pills, no shots, no nothing! It really sucks. My husband was with me

> and he

> said that the Dr. was very considerate and caring, I said that I felt

> foolish.

> And also, I changed one Rx for $10.00 for 4 Rx's for a total of $65.00???

> I

> am tired, cranky and feel ripped off. It just isn't fair. Is it!

> Gentle Hugs & Prayers,

> Carol M. in CA

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Dear ,

I was really cranky last night. My Dr. did give me an Rx for Lortabs to

help wean me off the Lortabs. I was taking 4 or 5 per day as per the

instructions on the bottle - every 4 hours - because I would wake up at night

and take

them also. I knew I was getting to that point, but it is frustrating to deal

with this too. Because the pain was getting worse - which he says is because

my body was getting used to them My Dr. said he would work with me and that

I can talk to him at any time. He is an Internist as well as clinical

professor at UC . I just feel like I did what he said and now I am the

one

who gets to deal with this. So wish me luck as I go thru this change. I will

contact my Rheumy at Stanford to see what I can do. Just please keep me in

your prayers. I took the Cymbalta this AM and seemed to do ok, but I have

both husband and grandson home sick today so I am running from one bedroom to

the other - one has cold other stomach flu! yuck.

Thank you.

Gentle Hugs & prayers,

Carol m. in CA

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Carol, you have every right to be cranky. You have been suffering for a very

long time.

From your story, it sounds as if your physician doesn't want you on opioids

anymore, but he doesn't have a really good reason for deciding that you

discontinue them.

He wants you to stop because ... ? Is he worried about " addiction " ? Is he at

all concerned that you could become " addicted " to Cymbalta and/or Effexor?

Did he ever worry that you might become " addicted " to prednisone? Probably

not, but why not then?

You didn't say how well Lortab is working for you, but, if it is, why stop?

What your physician said about stopping them now so that they will work if

you need them in the future is ridiculous.

When the pain increases, it's often because the pain has increased (imagine

that!), not because you have become tolerant to the narcotic.

Someone should consider giving you a sustained-release formulation of an

analgesic so that your sleep won't be disturbed and so you will have less

severe ups and downs in the pain cycle. If you had to wake up and take the

Lortab so you could continue sleeping without pain, that's no good. Also,

you might not need all of that acetaminophen.

If your internist wants you to take 2400 mg of ibuprofen a day instead, did

he give you something to prevent a GI bleed, too?

Don't get me wrong. Narcotics aren't the only solution for chronic pain, but

they can be a very good solution under certain circumstances. A pain

management specialist can assess your complicated situation and give you

reasonable, safe, effective options.

Since your physician gave you his phone number, please use it. Call or page

him when - and each and every time - you wake in the middle of the night

because of the pain.

Sorry about the sick pair you are tending to. I wish someone would be taking

care of you.

Not an MD

I'll tell you where to go!

Mayo Clinic in Rochester

http://www.mayoclinic.org/rochester

s Hopkins Medicine

http://www.hopkinsmedicine.org

Re: [ ] Help-I need support

> Dear ,

> I was really cranky last night. My Dr. did give me an Rx for Lortabs to

> help wean me off the Lortabs. I was taking 4 or 5 per day as per the

> instructions on the bottle - every 4 hours - because I would wake up at

> night and take

> them also. I knew I was getting to that point, but it is frustrating to

> deal

> with this too. Because the pain was getting worse - which he says is

> because

> my body was getting used to them My Dr. said he would work with me and

> that

> I can talk to him at any time. He is an Internist as well as clinical

> professor at UC . I just feel like I did what he said and now I am

> the one

> who gets to deal with this. So wish me luck as I go thru this change. I

> will

> contact my Rheumy at Stanford to see what I can do. Just please keep me

> in

> your prayers. I took the Cymbalta this AM and seemed to do ok, but I

> have

> both husband and grandson home sick today so I am running from one

> bedroom to

> the other - one has cold other stomach flu! yuck.

> Thank you.

> Gentle Hugs & prayers,

> Carol m. in CA

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Carol, I'm so sorry you are having such difficult times. You should

call your doctor and let him know what you just told us. Is this your

rheumatologist? Have you gone back to your orthopedist? I know I get

results with my orthopedist. He seems to be the only doctor I have

that actually empathizes with my situation. I have a great team of

docs, but I can always depend on my ortho. You should really talk to

your docs. Gentle hugs and prayers, Marina

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While we're on the subject of pain meds, I have a prescription for

Tramadol for pain. I try to take it only when I really need it, but

I have to say, that's pretty often. Not every day, but several

times a week, especially at night.

I was given a prescription for Percocet by my primary care, before

my dx of RA, and I still have uite a few of those left, but I have

rarely taken them, as Percocet gives me headaches.

I think I have read that Tramodol is not an opiate, is that

correct? But I also think I've read that it CAN be addictive (or

lead to dependence) anyway. I guess I don't know how careful I need

to be with it.

With both the Tramadol and the Percocet, they only help if the pain

isn't REALLY bad. Before I was dx'd, and then put on prednisone,

the pain was so bad that two percocet didn't even make a

difference. Now I'm on Mtx and Diclofenac, and weaning down off the

prednisone. Now that the prednisone is decreased, I have more pain

bad enough that I need the pain meds, but at least they usually

work. I'm crossing my fingers that the Mtx will start working well

enough that I don't need the pain meds very often if at all, but I

figure I should at least learn as much about them as I can.

>

> Carol, you have every right to be cranky. You have been suffering

for a very

> long time.

>

> From your story, it sounds as if your physician doesn't want you

on opioids

> anymore, but he doesn't have a really good reason for deciding

that you

> discontinue them.

>

> He wants you to stop because ... ? Is he worried

about " addiction " ? Is he at

> all concerned that you could become " addicted " to Cymbalta and/or

Effexor?

> Did he ever worry that you might become " addicted " to prednisone?

Probably

> not, but why not then?

>

> You didn't say how well Lortab is working for you, but, if it is,

why stop?

> What your physician said about stopping them now so that they will

work if

> you need them in the future is ridiculous.

>

> When the pain increases, it's often because the pain has increased

(imagine

> that!), not because you have become tolerant to the narcotic.

>

> Someone should consider giving you a sustained-release formulation

of an

> analgesic so that your sleep won't be disturbed and so you will

have less

> severe ups and downs in the pain cycle. If you had to wake up and

take the

> Lortab so you could continue sleeping without pain, that's no

good. Also,

> you might not need all of that acetaminophen.

>

> If your internist wants you to take 2400 mg of ibuprofen a day

instead, did

> he give you something to prevent a GI bleed, too?

>

> Don't get me wrong. Narcotics aren't the only solution for chronic

pain, but

> they can be a very good solution under certain circumstances. A

pain

> management specialist can assess your complicated situation and

give you

> reasonable, safe, effective options.

>

> Since your physician gave you his phone number, please use it.

Call or page

> him when - and each and every time - you wake in the middle of the

night

> because of the pain.

>

> Sorry about the sick pair you are tending to. I wish someone would

be taking

> care of you.

>

>

>

> Not an MD

>

> I'll tell you where to go!

>

> Mayo Clinic in Rochester

> http://www.mayoclinic.org/rochester

>

> s Hopkins Medicine

> http://www.hopkinsmedicine.org

>

>

> Re: [ ] Help-I need support

>

>

> > Dear ,

> > I was really cranky last night. My Dr. did give me an Rx for

Lortabs to

> > help wean me off the Lortabs. I was taking 4 or 5 per day as

per the

> > instructions on the bottle - every 4 hours - because I would

wake up at

> > night and take

> > them also. I knew I was getting to that point, but it is

frustrating to

> > deal

> > with this too. Because the pain was getting worse - which he

says is

> > because

> > my body was getting used to them My Dr. said he would work with

me and

> > that

> > I can talk to him at any time. He is an Internist as well as

clinical

> > professor at UC . I just feel like I did what he said and

now I am

> > the one

> > who gets to deal with this. So wish me luck as I go thru this

change. I

> > will

> > contact my Rheumy at Stanford to see what I can do. Just

please keep me

> > in

> > your prayers. I took the Cymbalta this AM and seemed to do ok,

but I

> > have

> > both husband and grandson home sick today so I am running from

one

> > bedroom to

> > the other - one has cold other stomach flu! yuck.

> > Thank you.

> > Gentle Hugs & prayers,

> > Carol m. in CA

>

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Hiya ,I have taken tramadol for many years.Tramadol has to be

taken all the time to build up in our system to get the full effects

of it.I take it 4 times a day 50mg,it works well with other pain

relief that i have taken,mst among them.

> >

> > Carol, you have every right to be cranky. You have been

suffering

> for a very

> > long time.

> >

> > From your story, it sounds as if your physician doesn't want you

> on opioids

> > anymore, but he doesn't have a really good reason for deciding

> that you

> > discontinue them.

> >

> > He wants you to stop because ... ? Is he worried

> about " addiction " ? Is he at

> > all concerned that you could become " addicted " to Cymbalta

and/or

> Effexor?

> > Did he ever worry that you might become " addicted " to

prednisone?

> Probably

> > not, but why not then?

> >

> > You didn't say how well Lortab is working for you, but, if it

is,

> why stop?

> > What your physician said about stopping them now so that they

will

> work if

> > you need them in the future is ridiculous.

> >

> > When the pain increases, it's often because the pain has

increased

> (imagine

> > that!), not because you have become tolerant to the narcotic.

> >

> > Someone should consider giving you a sustained-release

formulation

> of an

> > analgesic so that your sleep won't be disturbed and so you will

> have less

> > severe ups and downs in the pain cycle. If you had to wake up

and

> take the

> > Lortab so you could continue sleeping without pain, that's no

> good. Also,

> > you might not need all of that acetaminophen.

> >

> > If your internist wants you to take 2400 mg of ibuprofen a day

> instead, did

> > he give you something to prevent a GI bleed, too?

> >

> > Don't get me wrong. Narcotics aren't the only solution for

chronic

> pain, but

> > they can be a very good solution under certain circumstances. A

> pain

> > management specialist can assess your complicated situation and

> give you

> > reasonable, safe, effective options.

> >

> > Since your physician gave you his phone number, please use it.

> Call or page

> > him when - and each and every time - you wake in the middle of

the

> night

> > because of the pain.

> >

> > Sorry about the sick pair you are tending to. I wish someone

would

> be taking

> > care of you.

> >

> >

> >

> > Not an MD

> >

> > I'll tell you where to go!

> >

> > Mayo Clinic in Rochester

> > http://www.mayoclinic.org/rochester

> >

> > s Hopkins Medicine

> > http://www.hopkinsmedicine.org

> >

> >

> > Re: [ ] Help-I need support

> >

> >

> > > Dear ,

> > > I was really cranky last night. My Dr. did give me an Rx for

> Lortabs to

> > > help wean me off the Lortabs. I was taking 4 or 5 per day as

> per the

> > > instructions on the bottle - every 4 hours - because I would

> wake up at

> > > night and take

> > > them also. I knew I was getting to that point, but it is

> frustrating to

> > > deal

> > > with this too. Because the pain was getting worse - which he

> says is

> > > because

> > > my body was getting used to them My Dr. said he would work

with

> me and

> > > that

> > > I can talk to him at any time. He is an Internist as well as

> clinical

> > > professor at UC . I just feel like I did what he said

and

> now I am

> > > the one

> > > who gets to deal with this. So wish me luck as I go thru

this

> change. I

> > > will

> > > contact my Rheumy at Stanford to see what I can do. Just

> please keep me

> > > in

> > > your prayers. I took the Cymbalta this AM and seemed to do

ok,

> but I

> > > have

> > > both husband and grandson home sick today so I am running

from

> one

> > > bedroom to

> > > the other - one has cold other stomach flu! yuck.

> > > Thank you.

> > > Gentle Hugs & prayers,

> > > Carol m. in CA

> >

>

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>

> Hiya ,I have taken tramadol for many years.Tramadol has to be

> taken all the time to build up in our system to get the full effects

> of it.I take it 4 times a day 50mg,it works well with other pain

> relief that i have taken,mst among them.

Really?!? My prescription was written as, " Take 1-2 tablets every 4-6

hours as needed for pain " The Dr. didn't make it sound like this was

something I was supposed to take all the time.

It makes me pretty sleepy. I'm not sure hiow functional I'd be taking

it during the day on a regular basis.

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,

Everyone's situation is different. Tramadol need not be taken

round-the-clock.

When people do take opioids each day and throughout the day for chronic

(24/7) pain, side effects like drowsiness and nausea usually go away after a

few days (referred to as " tolerance " to adverse effects). Constipation is

one vexing side effect that may not subside.

Not an MD

I'll tell you where to go!

Mayo Clinic in Rochester

http://www.mayoclinic.org/rochester

s Hopkins Medicine

http://www.hopkinsmedicine.org

[ ] Re: Help-I need support

>

>>

>> Hiya ,I have taken tramadol for many years.Tramadol has to be

>> taken all the time to build up in our system to get the full effects

>> of it.I take it 4 times a day 50mg,it works well with other pain

>> relief that i have taken,mst among them.

>

> Really?!? My prescription was written as, " Take 1-2 tablets every 4-6

> hours as needed for pain " The Dr. didn't make it sound like this was

> something I was supposed to take all the time.

>

> It makes me pretty sleepy. I'm not sure hiow functional I'd be taking

> it during the day on a regular basis.

>

>

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Guest guest

> >>

> >> Hiya ,I have taken tramadol for many years.Tramadol has to

be

> >> taken all the time to build up in our system to get the full

effects

> >> of it.I take it 4 times a day 50mg,it works well with other pain

> >> relief that i have taken,mst among them.

> >

> > Really?!? My prescription was written as, " Take 1-2 tablets

every 4-6

> > hours as needed for pain " The Dr. didn't make it sound like

this was

> > something I was supposed to take all the time.

> >

> > It makes me pretty sleepy. I'm not sure hiow functional I'd be

taking

> > it during the day on a regular basis.

> >

> >

>

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My bottle says to take 1 tablet 4 times a day as needed. At the time I

was given the prescription, I was having lots of hip pain. I just took

one at bedtime while that was going on. I take one occasionally now

when I'm having more pain than usual, but it's mostly at bedtime. When

I was having that recent shoulder pain, I took 2 one day, but it didn't

get rid of the pain completely.

Sue

On Wednesday, March 29, 2006, at 02:09 PM, Randall wrote:

>

>>

>> Hiya ,I have taken tramadol for many years.Tramadol has to be

>> taken all the time to build up in our system to get the full effects

>> of it.I take it 4 times a day 50mg,it works well with other pain

>> relief that i have taken,mst among them.

>

> Really?!? My prescription was written as, " Take 1-2 tablets every 4-6

> hours as needed for pain " The Dr. didn't make it sound like this was

> something I was supposed to take all the time.

>

> It makes me pretty sleepy. I'm not sure hiow functional I'd be taking

> it during the day on a regular basis.

>

>

>

>

>

>

>

>

>

>

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Guest guest

Hi,

I've been taking tramadol for three years now. I'm currently taking

three a day, and the medication keeps the pain down but not

completely out. I had been taking four a day for a while, but I

developed constipation. This cleared up when I went back to

three a day.

> >

> > Carol, you have every right to be cranky. You have been

suffering

> for a very

> > long time.

> >

> > From your story, it sounds as if your physician doesn't want

you

> on opioids

> > anymore, but he doesn't have a really good reason for

deciding

> that you

> > discontinue them.

> >

> > He wants you to stop because ... ? Is he worried

> about " addiction " ? Is he at

> > all concerned that you could become " addicted " to Cymbalta

and/or

> Effexor?

> > Did he ever worry that you might become " addicted " to

prednisone?

> Probably

> > not, but why not then?

> >

> > You didn't say how well Lortab is working for you, but, if it is,

> why stop?

> > What your physician said about stopping them now so that

they will

> work if

> > you need them in the future is ridiculous.

> >

> > When the pain increases, it's often because the pain has

increased

> (imagine

> > that!), not because you have become tolerant to the narcotic.

> >

> > Someone should consider giving you a sustained-release

formulation

> of an

> > analgesic so that your sleep won't be disturbed and so you

will

> have less

> > severe ups and downs in the pain cycle. If you had to wake

up and

> take the

> > Lortab so you could continue sleeping without pain, that's no

> good. Also,

> > you might not need all of that acetaminophen.

> >

> > If your internist wants you to take 2400 mg of ibuprofen a day

> instead, did

> > he give you something to prevent a GI bleed, too?

> >

> > Don't get me wrong. Narcotics aren't the only solution for

chronic

> pain, but

> > they can be a very good solution under certain

circumstances. A

> pain

> > management specialist can assess your complicated

situation and

> give you

> > reasonable, safe, effective options.

> >

> > Since your physician gave you his phone number, please

use it.

> Call or page

> > him when - and each and every time - you wake in the middle

of the

> night

> > because of the pain.

> >

> > Sorry about the sick pair you are tending to. I wish someone

would

> be taking

> > care of you.

> >

> >

> >

> > Not an MD

> >

> > I'll tell you where to go!

> >

> > Mayo Clinic in Rochester

> > http://www.mayoclinic.org/rochester

> >

> > s Hopkins Medicine

> > http://www.hopkinsmedicine.org

> >

> >

> > Re: [ ] Help-I need support

> >

> >

> > > Dear ,

> > > I was really cranky last night. My Dr. did give me an Rx for

> Lortabs to

> > > help wean me off the Lortabs. I was taking 4 or 5 per day

as

> per the

> > > instructions on the bottle - every 4 hours - because I would

> wake up at

> > > night and take

> > > them also. I knew I was getting to that point, but it is

> frustrating to

> > > deal

> > > with this too. Because the pain was getting worse - which

he

> says is

> > > because

> > > my body was getting used to them My Dr. said he would

work with

> me and

> > > that

> > > I can talk to him at any time. He is an Internist as well as

> clinical

> > > professor at UC . I just feel like I did what he said

and

> now I am

> > > the one

> > > who gets to deal with this. So wish me luck as I go thru

this

> change. I

> > > will

> > > contact my Rheumy at Stanford to see what I can do. Just

> please keep me

> > > in

> > > your prayers. I took the Cymbalta this AM and seemed to

do ok,

> but I

> > > have

> > > both husband and grandson home sick today so I am

running from

> one

> > > bedroom to

> > > the other - one has cold other stomach flu! yuck.

> > > Thank you.

> > > Gentle Hugs & prayers,

> > > Carol m. in CA

> >

>

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Hi ,

So Tramadol _is_ an opiode? I thought I had read that it wasn't.

....Not that it makes a difference, I guess, but I was just wondering.

For now, I'd rather not take a pain killer around the clock. I

don't like hurting, but I also need to know whether the other meds

are starting to work or not.

> >>

> >> Hiya ,I have taken tramadol for many years.Tramadol has to

be

> >> taken all the time to build up in our system to get the full

effects

> >> of it.I take it 4 times a day 50mg,it works well with other pain

> >> relief that i have taken,mst among them.

> >

> > Really?!? My prescription was written as, " Take 1-2 tablets

every 4-6

> > hours as needed for pain " The Dr. didn't make it sound like

this was

> > something I was supposed to take all the time.

> >

> > It makes me pretty sleepy. I'm not sure hiow functional I'd be

taking

> > it during the day on a regular basis.

> >

> >

>

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Guest guest

That's sort of my experience too. It definitely helps if the pain

is moderate, but if it's REALLY bad, even taking 2 Tramodol doesn't

help that much. (though sometimes it will put me to sleep so I can

ignore the pain!<g>)

> >>

> >> Hiya ,I have taken tramadol for many years.Tramadol has to

be

> >> taken all the time to build up in our system to get the full

effects

> >> of it.I take it 4 times a day 50mg,it works well with other pain

> >> relief that i have taken,mst among them.

> >

> > Really?!? My prescription was written as, " Take 1-2 tablets

every 4-6

> > hours as needed for pain " The Dr. didn't make it sound like

this was

> > something I was supposed to take all the time.

> >

> > It makes me pretty sleepy. I'm not sure hiow functional I'd be

taking

> > it during the day on a regular basis.

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

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Guest guest

,

Yes, tramadol is an opioid. There is a lot of confusion over this drug. It

was approved by the FDA in 1995 as an opioid analgesic that supposedly (and

according to the manufacturer and trials) would have lower dependence and

abuse potential than other opioids. At approval in 1995, the FDA did not

recommend that tramadol be scheduled as a controlled substance. It still

isn't, but that may change.

Not an MD

I'll tell you where to go!

Mayo Clinic in Rochester

http://www.mayoclinic.org/rochester

s Hopkins Medicine

http://www.hopkinsmedicine.org

[ ] Re: Help-I need support

> Hi ,

>

> So Tramadol _is_ an opiode? I thought I had read that it wasn't.

> ...Not that it makes a difference, I guess, but I was just wondering.

>

> For now, I'd rather not take a pain killer around the clock. I

> don't like hurting, but I also need to know whether the other meds

> are starting to work or not.

>

>

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, one thing I had a hard time learning is that if you are hurting so

much you must have a pain pill, it's too late. I finally started taking my

pain med full time and raised it a little when the pain was greater. In the

past, I'd heard all the stories about getting hooked on it, and that's bad.

Now I know it's not true at all, we must use all our resources regardless of

the " old wives tales " of our past. It's your choice, but I would suggest

taking your pain pills for a short time, a month perhaps, and see what the

difference is.

Dennis

[ ] Re: Help-I need support

> Hi ,

>

> So Tramadol _is_ an opiode? I thought I had read that it wasn't.

> ...Not that it makes a difference, I guess, but I was just wondering.

>

> For now, I'd rather not take a pain killer around the clock. I

> don't like hurting, but I also need to know whether the other meds

> are starting to work or not.

>

>

>

>

>>

>> ,

>>

>>

>> Everyone's situation is different. Tramadol need not be taken

>> round-the-clock.

>>

>> When people do take opioids each day and throughout the day for

> chronic

>> (24/7) pain, side effects like drowsiness and nausea usually go

> away after a

>> few days (referred to as " tolerance " to adverse effects).

> Constipation is

>> one vexing side effect that may not subside.

>>

>>

>>

>>

>> Not an MD

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Hi Dennis,

The trouble with that is that I'm not sure I'll know if the Mtx is

working the way it should be, or whether we should be looking for

another DMARD. I feel like I need to have that " feedback " , at least

until we have the other meds where they need to be.

> >>

> >> ,

> >>

> >>

> >> Everyone's situation is different. Tramadol need not be taken

> >> round-the-clock.

> >>

> >> When people do take opioids each day and throughout the day for

> > chronic

> >> (24/7) pain, side effects like drowsiness and nausea usually go

> > away after a

> >> few days (referred to as " tolerance " to adverse effects).

> > Constipation is

> >> one vexing side effect that may not subside.

> >>

> >>

> >>

> >>

> >> Not an MD

>

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Hi Dennis,I agree with you 100%.RA pain can drag us to our knee's.I

was a bit upset yesterday when i realised i had been lied to by my

reummy about tramadol.I have thought about it over the day and have

come to the conclusion what the heck do'es it really matter!Quality

of life for me is more important than how long i live.I hope you

feeling ok today.Hugs

> > >>

> > >> ,

> > >>

> > >>

> > >> Everyone's situation is different. Tramadol need not be taken

> > >> round-the-clock.

> > >>

> > >> When people do take opioids each day and throughout the day

for

> > > chronic

> > >> (24/7) pain, side effects like drowsiness and nausea usually

go

> > > away after a

> > >> few days (referred to as " tolerance " to adverse effects).

> > > Constipation is

> > >> one vexing side effect that may not subside.

> > >>

> > >>

> > >>

> > >>

> > >> Not an MD

> >

>

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