I saw my PCP today. I asked him about taking tramadol because some people try not to give into pain meds unless desperate, yet it seems lower pain would help blood pressure stay lower. He says that tramadol is NOT addictive; in fact, he has patients who have been on it for quite a long time and they have not needed increased doses. He also says tramadol seems to work better over time. If you have pain and take tramadol, it works okay, but the second and third doses build on the first and second, and help even more. Plus, tramadol only stays in your body around 4 hours max, so it not only makes sense but he recommends taking it on a regular basis for chronic pain. The max is 8 per day, but he would try 6, either 1 or 2 at a time, every 4 hours. Pain can have so many negative effects on our body. He even wrote out a new prescription for 180 in a month, as with the old prescription taking 6 a day would make me need to refill it earlier than insurance would want!!! I'm not a big fan of pain pills, but I'll admit, I probably do wimp out earlier than many of you. I just have never had to deal with pain or illness hardly at ALL until 2 years ago, so I guess I am still adjusting to having pain. Also, probably by summer I'll hardly need any except prn, but when I do feel worse, I do take 4-6 per day. And this winter is being worse than last year, so I don't think I'll be looking forward to winters to come. Anyway, I know some docs take a real hard stance against using pain meds. I don't think my PCP is a real druggie type! LOL The way he has explained tramadol to me more than once, though, is just very matter-of-fact, especially as it relates to chronic pain. It's not addicting, it works better as you keep taking it, but it only lasts 4 hours so tramadol does need to be taken regularly. Have you heard this, as well? It sounds so much more liberal than what I've heard about some docs, but it's good to know I don't have to shy away from tramadol or save it for the worst times just so it will continue working. It WILL continue working. I hope this helps some of you who get phony excuses as to why you shouldn't be taking it.