Tramadol HCL 50 does it help you?

Discussion in 'Fibromyalgia Main Forum' started by hensue, Nov 13, 2009.

  1. hensue

    hensue New Member

    Have you tried this drug? I thought I had seen where quite a few people take this drug,

    One reason I ask is I have a sister who has a bulging disc. She did not sleep at night before this happen. Now she is telling me her arms hurt and her legs. She is exhausted and they are giving her flexeril and ambien cr to sleep. She goes to sleep and wakes up about 1 or 2.
    She is 41 and all of us went through menepouse about that time.

    I think she has fibromyalgia and I am freaking. She is losing it she is a school teacher.
    Her husband has just lost a lucrative job.

    She also takes celexa just started it again.

    Would it hurt if I let her try this Tramadol Hcl 50? Is codiene in it?

    Would appreciate any info you give me.
  2. debilyn

    debilyn New Member

    Hi hensue,

    I take Tramadol (Ultram); it's not a narcotic; it doesn't have codiene. But I don't think it's particularly an anti-inflammatory which is probably what your sister needs.

    In an extreme circumstance when my 25-year-old son hurt his back during a construction project and was unable to get to the doctor right away, I gave him a Tramadol. It did help him some. That said, I wouldn't make a habit of giving anyone my medicine and haven't since.

    Hope your sis gets to feeling better soon. I, too, am a teacher, and it's miserable when you're hurting.


    PITATOO Member

    Tramadol/Ultram is a non-narcotic pain reliever. It has no codine in it. It is a dervitive of tylenol. It is not addicting but dependency can build. I would recommend her Dr. prescribe it. I have been on Vicodin, Codine, Dilaudid and many others and have been on tramadol since it first came out in the mid 90's very good for me, has saved my life. But it does raise your liver enzymes after long term use.
  4. hensue

    hensue New Member

    It is 50 mg? Why did it have something to do with codiene? Serotonin?

    Does it make you drowsy?

  5. Juloo

    Juloo Member

    It was prescribed (and I agree with the others who suggest you let the doctor do this). But my experience was that it was completely useless. And I do mean completely. A placebo would have been more helpful. Whatever it was supposed to do, my body just did not react to it at all.
  6. spacee

    spacee Member

    I take Ultram 50 mg (brand name) Tramadol (generic ) makes me sleepy. Does the same to my hubby.

    It does not cause dependency but we have to slowly wean off or we will have a reaction. Hard to describe but if you go down 1/2 tablet at a time per problems for us.

    The brand name is ridiculously expensive

    Ultram uses the same pathways as codiene but not addictive.

    I feel so bad for you sis. Other than regular pain meds there is neurontin. Might have to see a pain management doc. My brother takes that for his disc problems plus takes tramadol. He has "mortal agony" as he describes it.

  7. AuntTammie

    AuntTammie New Member

    If she is taking Ambien and Flexeril, it might not be good to take this the same day/night.....extreme drowsiness and/or respiratory depression could result.....I'd esp be concerned about this if she has anything like asthma.....also it should not be combined with low dose naltrexone (though I don't think it sounds like she is on that)...there are a few other drugs that should not be taken with it (they are mentioned in the following under drug interactions)

    from Medicine Net:

    GENERIC NAME: tramadol
    BRAND NAME: Ultram

    DRUG CLASS AND MECHANISM: Tramadol is a man-made (synthetic) analgesic (pain reliever). Its exact mechanism of action is unknown but similar morphine. Like morphine, tramadol binds to receptors in the brain (opioid receptors) that are important for transmitting the sensation of pain from throughout the body to. Tramadol, like other narcotics used for the treatment of pain, may be abused. Tramadol is not a nonsteroidal antiinflammatory drug (NSAID) and does not have the increased risk of stomach ulceration and internal bleeding that can occur with NSAIDs.

    PRESCRIBED FOR: Tramadol is used in the management of moderate to moderately severe pain. Extended release tablets are used for moderate to moderately severe chronic pain in adults who require continuous treatment for an extended period.

    DOSING: The recommended dose of tramadol is 50-100 mg (immediate release tablets) every 4-6 hours as needed for pain. The maximum dose is 400 mg/day. To improve tolerance patients should be started at 25 mg/day, and doses may be increased by 25 mg every 3 days to reach 100 mg/day (25 mg 4 times daily). Thereafter, doses can be increased by 50 mg every 3 days to reach 200 mg day (50 mg 4 times daily). Tramadol may be taken with or without food.

    Recommended dose for extended release tablets is 100 mg daily which may be increased by 100 mg every 5 days but not to exceed 300 mg /day. Extended release tablets should be swallowed whole and not crushed or chewed.

    DRUG INTERACTIONS: Carbamazepine reduces the effect of tramadol by increasing its inactivation in the body. Quinidine (Quinaglute, Quinidex) reduces the inactivation of tramadol, thereby increasing the concentration of tramadol by 50%-60%. Combining tramadol with monoamine oxidase inhibitors (for example, Parnate) or selective serotonin inhibitors [(SSRIs, for example, fluoxetine (Prozac)] may result in severe side effects such as seizures or a condition called serotonin syndrome.

    Tramadol may increase central nervous system and respiratory depression when combined with alcohol, anesthetics, narcotics, tranquilizers or sedative hypnotics.

    PREGNANCY: The safety of tramadol during pregnancy has not been established.

    NURSING MOTHERS: The safety of tramadol in nursing mothers has not been established.

    SIDE EFFECTS: Tramadol is generally well tolerated, and side effects are usually transient. Commonly reported side effects include nausea, constipation, dizziness, headache, drowsiness, and vomiting. Less commonly reported side effects include itching, sweating, dry mouth, diarrhea, rash, visual disturbances, and vertigo. Some patients who received tramadol have reported seizures. Abrupt withdrawal of tramadol may result in anxiety, sweating, insomnia, rigors, pain, nausea, diarrhea, tremors, and hallucinations.

  8. roseisarose

    roseisarose New Member

    Dear Hensue,
    I have severe CFS/Fibro and Tramadol helps me during the day. However, it does not help me at night, in fact, it keeps me awake. Then I use Tylenol No.3 (has codeine in it) for the pain at night.
    Both Tramadol and Tylenol No.3 are addictive. I suggest you find a pain specialist in your area that is knowledgeable about fibro/spinal problems.
    Some doctors rx ketamine. I had a bad reaction to it (nightmares), so discontinued.
    Hope this helps (YMMV),
  9. hensue

    hensue New Member

    I had no idea it was addictive??? How or why?? What in it is so powerful that you become addictive?

    I appreciate everyone answering.

  10. tig519

    tig519 Member

    I've seen some people on here mentioning withdrawal when they stopped. I have not, although I have never stopped it completely. When pain is bad, I've taken as much as 250mg a day. When pain is not so bad I may take only 50mg in the morning.

    I would assume that just like many drugs that are not narcotics, they still alter your chemistry and your body gets used to them. Take them away and it's possible to suffer from varying side effects of withdrawal.

    Like someone else mentioned, I actually don't get drowsy, this drug actually gives me energy as well, kind of like caffeine. So I don't take it after 3pm or I won't get to sleep.
  11. AuntTammie

    AuntTammie New Member

    this explains why it can be addictive; "Like morphine, tramadol binds to receptors in the brain (opioid receptors) that are important for transmitting the sensation of pain from throughout the body to. Tramadol, like other narcotics used for the treatment of pain, may be abused."

    It may not be an opioid drug, but it acts in a similar manner and the body perceives it in a similar manner.....opioid receptors are also part of the brain's pleasure center
  12. steve1255

    steve1255 New Member

    I have been using tramadol for years and it has been the single best drug I have ever used. I find it helps with pain generally, but also (for a reason I know not) the full-body, painful fatigue that can put you in a chair or on a couch for a good part of the day. It doesn't fully help these things, but enough to say that not taking it will cause me a very bad day.
  13. gapsych

    gapsych New Member

    Tramadol has been the best pain reliever for me. I do not get drowsy from it.

    It does not make me feel high so I think that makes it less addictive than some of the narcotics which are not effective for me.

    If I have a headache, the Tramadol does not work. It only helps my FM pain. Like Steve it helps the fatigue just a bit.

    This is my experience with Tramadol and of course, we each may react differently.

    The only frustrating thing about it is my insurance does not cover the slow release Tramadol as "they" say it is not more effective. However, there are times I will forget to take it and will then get breakthrough pain. I now keep track of when I have taken it with a chart.

    Does it stop the pain completely? No, but certainly has been the best pain medication for my FM.

    Take care.

  14. heapsreal

    heapsreal New Member

    tramadol is a type of narcotic analgesic, it acts on opiod receptors as well as serotonin and noradrenaline, all this combined help it with relieving pain. Personally i find it helpful with pain and brain fog, also energises me so i dont take it late at night.

    Have also read where it has helped severly depressed people get out of a deep hole, where antidepressants havent helped. This is where the serotonin noradrenaline effects come in also.

  15. pumkinhead

    pumkinhead New Member

    My husband takes tramadol for his arthritis and it does help him alot. I am not sure it is strong enough for Fibro but worth a try.
  16. loto

    loto Member

    Hi All
    I recently read up on Cymbalta drug interactions and discovered that taking Tramadol with Cymbalta can cause Serotonin Syndrome.
    So, since I take Cymbalta, I'm going to stop taking Tramadol.
    If you google serotonin syndrome, it will tell you the other meds that may cause this, if taken together.
    Note it does say MAY cause serotonin syndrome, not that it will in every person.
    I've just decided to discontinue taking tramadol because it didn't help me very much.

    Just wanted everyone to be aware.
    Merry Christmas all!!
  17. nah.stacey

    nah.stacey Member

    I have used tramadol for years, since about 2002. I find it helps more with the flu type symptoms of FM/CFS than the break through pain, but it has been my absolute salvation in my early years.

    I also have incredible back pain myself, had fusion of L5/S1 in 2007, tramadol did absolutely NOTHING for any of my back related pain. I have also been on morphine at different times in my life and I honestly can tell you it doesn't feel anything the same to me. I ended up going off cold turkey in Nov. of this year as per new Pain Dr.'s orders and felt no withdrawal side effects.

    Keep in mind that every one reacts in different ways to different drugs. Also, keep in mind that I have had back/neck pain nearly all my life, not once was I ever given tramadol as a pain drug.

    Best of luck to both of you,
    [This Message was Edited on 12/22/2009]