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anyone heard of ultram medication

Posted by lisa k on 5/06/02 at 14:03 (082661)

doc rx'd this ultram newer medication not antiinflam just non narcotic anelgesic doent tear up stomach, he 'says'not addictive, not narcotic but very very mild derivative of synthetic codene, thanks anyone for info

also in my boredom this weekend, i think i purchased too many self care items from medical foot web sites ,phychological made me feel like i was doing something at least to HELP my feet ----but pf should not make you financially bankrupt too, my insurance has coverd custom orthos, night split etc ,need to wait -just a tip for anyone else experiencing this, take care :) ,lisa k.

Re: Ultram: what you should know

Sharon W on 5/06/02 at 14:44 (082666)

Lisa,

I really wouldn't say Ultram is all that 'mild'. It is indeed a derivitive of synthetic codeine, but it acts on the opioid receptors -- which is to say, it acts kind of like opium in your body. (It should really be good for knocking out some of that pain you've been in!) As for being non-addictive: Ultram was believed to be non-addictive when it first came out on the market, but that promise has not been borne out. A year after it came out, the FDA had to require new warnings of Ultram's addiction dangers, because they had received more than 100 reports of addiction and overdose problems. (Perhaps your Dr. didn't see the warnings that came out at that time.) Usually there are no withdrawl symptoms from this drug if it is tapered down gradually, though.

Ultram can either raise your blood pressure or cause it to suddenly drop when you stand up, possibly making you feel dizzy or faint. You should probably check your blood pressure now and then. And you should probably have blood work done every now and then, if you continue taking this drug for a long time, to make sure your kidneys and liver are doing OK.

But it's a very effective medication, especially for chronic pain, and I take it occasionally myself. You should take it BEFORE the pain gets really intense, not wait until you're practically curled up in fetal position and moaning!

-- Sharon

Re: Ultram: what you should know

Sharon W on 5/06/02 at 15:02 (082669)

Lisa,

I forgot to mention: don't drink alcohol while you're taking Ultram. And sometimes it can make you drowsy or dizzy, or you might feel a little confused or anxious. (If you start seeing hallucinations, though, call your doctor right away!)

I also should clarify that although Ultram HAS turned out to be addictive, it is not AS addictive as opioids, and for chronic pain it is probably as effective. For those reasons it is generally considered 'safer' for long-term use.

-- Sharon

Re: anyone heard of ultram medication

Ed Davis, DPM on 5/06/02 at 18:27 (082707)

Lisa:

Sharon's information is rather complete concerning Ultram (tramadol). It is probably less addicitve than codeine or vicodin (hydrocodone) and may cause less drowsiness. Synthetic narcotics or narcotic analogues, while designed to have advantages occasionally have unusual reactions with specific patients.
The manufacturer, Orth-McNeil, has more recently introduced Ultracet which is Ultam plus acetominophen. It has a reduced tramadol dose and seems to work better for musculoskeletal pain.
Ed

Re: Ultram, good for moderate pain

BrianG on 5/06/02 at 21:14 (082732)

I think one of the biggest problems with Ultram is that is not a long acting med. You will need more doses per day, to ensure you body is getting a constant supply in the blood stream. If your looking for something to occasionally take for pain, this is worth trying. If you want around the clock relief, you'll have to step up to the pain meds that are designed to last 8-12 hours. A normal dose of a regular pain med (Ultram) may only last 4 hours, which can lead to a yoyo effect (up and down) of pain control. This would be the same time frame as Vicodan, Percoset, etc. It's better than nothing, but it's not the 'gold standard' for pain relief. Good luck with it.

BrianG

Re: anyone heard of ultram medication

john h on 5/06/02 at 21:52 (082736)

I have taken Ultrm off and on and have never had a problem with it. It was originally prescribed with 1 tablet every 6 hours as needed. I have never taken more than 2 in one day and never noticed any effects other than some pain relief. My doctor said that even though it is not a narcotic it is a street drug and has considerable value when sold on the street. Actually, it is the only drug that I have taken that provided any relief at all and it is not very much probably because I do not take the 4 a day as prescribed.

Re: Ultram, good for moderate pain

john h on 5/06/02 at 21:53 (082737)

Brian your take is about the same as mine.

Re: anyone heard of ultram medication

Ed Davis, DPM on 5/06/02 at 23:25 (082745)

John:

It may be my experience in particular but it seems that female patients have more side effects with Ultram than males.

It seems to work better for pain of neropathic origin than most pain drugs.
It is not 'officially' a narcotic but shares similarities with opioids.

I have found it to be very useful for a number of patients.
Ed

Re: Ultram, good for moderate pain

Ed Davis, DPM on 5/06/02 at 23:29 (082746)

It is possible to take up to 8 - 50 mg. Ultram tablets per day without side effects according to the manufacturer. They appear to be correct. Patients are sensitive to the drug or they are not. Those who tolerate it well can probably get by with the 8 per day dose as long as they work up to 8 gradually. There is some controversy as to a mild addiction potential.

Modern technology would probably allow formulation of a longer acting version. FDA approval and fears of abuse of a long acting version may put a damper on its development.
Ed

Re: anyone heard of ultram medication

john h on 5/07/02 at 08:52 (082778)

Dr Ed: Interesting comments about Ultram. Of course women have different hormones or different amounts so perhaps this may account for the effect. My doctor of many years said he is careful in prescribing the drug because it can be sold and many try it. He has no problem with me using it long term if I want. I always keep some available but do not take it on a regular basis. It is relatively inexpensive, does not bother the stomach that I know of, and certainly does not make me feel anything.

Re: anyone heard of ultram medication

Tammie on 5/07/02 at 09:29 (082790)

I have been taking ultram for some time now. I feel that it is good to take a edge off of pain but it does not take nearly enough of the pain away! I never cared to take meds for anything before foot pain,but now I will say that I religiously take the ultram as if I dont I do not get any kind of relief. I also have noticed by hubby pointing out that I take much more then is allowed .I wake up often at night and in order to get back to sleep I have to take something to take the edge off and allow me to sleep.I worry someday that I may be addicted to it as it seems I cannot do anything with out it. I know I take at least the 8 a day but I believe it is more then that as thru the night I take also. I take more some days and then somedays not as much ,if it is a good day and I am not working and irritating it by being on my feet ,or out running endless errands and shoping and such.

When I first started taking I had some dizzy and sick like feelings now I have nothing . It takes 2 instead of one to get a relief. I think the body builds up to it and it looses its efectness.I am hoping that this pain management apt. helps me in a safe way. It is coming soon May 20 I can hardly wait for it, seems like I have been waiting for months and months. I am hoping they will be able to help with out the fear of addiction and allow me to function without always feeling pain, as it never completely vanishes.But there are times It is much less and more dealable.I think maybe Julies Tape has indeed helped me some!

Re: Tammie

Sharon W on 5/07/02 at 11:06 (082811)

Tammie,

I am SO glad you're going to pain management. It sounds as if you have had too rely too much on Ultram, for too long, and your pain is really too strong for it.

But I am sure the pain specialist will be able to help you find a regimen that works much better for you. I am so sorry it has taken this long for you to get an appointment, though; I don't pretend to understand the pain of RSD but TTS pain can get pretty bad, by itself. And I know you have always been 'stoic' and therefore have just 'lived with' the pain and worked through it. Hang in there, my friend, because relief is in sight!

-- Sharon

Re: A new class of pain meds is needed !!

BrianG on 5/07/02 at 17:07 (082870)

Yes, you could probably take up to 8 a day, to get maxamum effect. I've talked to people who were on this type of time table, and it usually involves setting the alarm clock and taking a dose in the middle of the night.

I think the addiction / accomodation issues are just as relevant as any onther narcotic. What the industry needs, is a new, non-narcotic pain med that will work as well as any of the currant narcotics. When that happens, it will be a GIANT breakthrough !!!

BrianG

Re: anyone heard of ultram medication

john h on 5/07/02 at 18:23 (082886)

Tammie: Go for a few days without taking Ultram just to prove to yourself you are not addicted and then forget about it.

Re: A new class of pain meds is needed !!

Tammie on 5/07/02 at 18:27 (082888)

Brian, who neds a alarm clock with pain? It always wakes me up I dont need any thing else to do it lol. I am serious now, I take before I go to bed , my elevil 50 mg, I take paxil in evening and I take 2 ultrams before I go to or I should say before i am able to sleep. I will wake up in about 2 hours sometimes if I am very lucky I may get a break and sleep longer before the pain wakes me it always feels as tho someone thrust a large chunk of glass in my foot and it is on fire. Then it changes to lol sometimes it feels very cold like I cant warm it I sometimes take a hot pack and try to sleep with it warm.

But getting back to the ultram, I go to bed between 9and 10I can say that I am up at least 3 times before 4 and sometimes the 3 time is 4 and I have to get up for work anyway, or if I am not working I will take 2 more ultram and see if I can sleeptill 6 or 7.When i last seen my primary dr. she told me i can basically take what I need and not to worry about addiction. Till I get in to my pain appt.Dr. Hubby joked before he left what shall I do if they do nothing for me I said I intend on sitting right there on the floor even and refuse to do anything till they agree to help with this darn pain. He said if I do he will be surprised lol yea I am going to tell him take the video cam if he likes I will make my history!

I just believe that ultram has a quick effect I mean it seems to work quickly if it is going to help any. It used to help me sleep but not anymore it is like taking candy or placebo.

Re: Tammie

Sharon W on 5/07/02 at 18:32 (082890)

Tammie,

You go girl! Don't take 'no' for an answer from that pain Dr., after all that time you had to wait! I love your assertive attitude!!

-- Sharon

Re: anyone heard of ultram medication

Tammie on 5/07/02 at 18:46 (082897)

John I have tried to go longer times in between and I never take on a time frame as when I did I just could not take it . To much pain. I wait it out as long as I can without crying, sometimes I try warm heat as it works to calm sometimes and then sometimes I am hot so I put foot in warm water not icey as ice seems to really irritate it more .I really dont know if It is addiction and at this point I can not worry as it is either that or life with unbearable pain.I am looking foward to seeing what they are going to do or suggest I do .May 20 cant get here soon enough I am counting down. LOL sometimes at night when I cant stand my foot I try moving it around pillow is its friend not a enemy I tell it and I put it between calf and ankle so my foot does not touch bed or anything. Then I might get my hot pack it is soothing also! Also Julie has the most calming voice i have ever heard she has a beautiful way of soothing my head, I turn her on and sometimes just listen to her voice it is weird but it helps me relax.Sometimes I get goose bumps lol I cant figure why but it does .

Re: Ultram: what you should know

Monte on 5/07/02 at 20:38 (082917)

I got a phone call from my pharmacy today warning me that Ultram has been known to cause seizures even at normally prescribed dosages and that risk is increase if youalso take another 'downer' type of medication. Please read the warning instructions and be careful. I got rid of mine.

Re: anyone heard of ultram medication

john h on 5/07/02 at 21:38 (082925)

Odds of becoming hooked on ultram are really low. even less if you are in pain. you got to deal with the pain first and formost so do what ever works.

Re: Ultram: what you should know

john h on 5/07/02 at 21:45 (082926)

Ultram is probably much less dangerous than a lot of widely used anti inflamatory drugs. certainly one should heed the warnings on med containers but all of them carry warnings of serious side effects to protect the manufacturers from lawsuits among other things. Seems like half the drugs I have taken at one time or another warn that it can cause seizures. some of the drugs my wife took for cancer warned of side effects that sounded as bad as the disease but you do what you got to do.

Re: Tammie, you're doing well

Julie on 5/08/02 at 01:55 (082949)

Hi Tammie

You know, there is a huge difference in your posts these days. I just have to tell you this. You sound now as though you've genuinely taken control of your situation - looked it square in the eye and said, 'OK, that's how it is, now I'm going to accept it and deal with it'. Is that right? I think it must be, because - that's how it sounds.

Please don't worry about getting addicted. You're dealing with major pain, and as John says, you do what you've got to do. When do you see the pain management doctor? I hope you won't have to be assertive with him, I hope he'll be helpful, supportive, compassionate and sensible. But if you do have to be assertive - I know you'll be able to.

I'm glad you enjoy my voice on the tape. No, it isn't weird that you find it relaxing - remember, it's my profession and I've been doing this work for 15 years. The voice is part of it. It's God-given, but I've learned how to use it. I feel very fortunate to be able use it to help.

Re: lisa k and ultram

Lisa G on 5/08/02 at 12:00 (083053)

just throwin my 2 cents in lisa...i took ultram religiously for over a year...it helped...but after awhile really did nothing for my feet pain...it was the one drug i've taken that i didn't have many side effects...so give it a try...can't hurt really...i was at the point where i was taking 4 every 2-3 hours...

i'm now on some pretty heavy narcotics...a duragesic patch and vicodin 3x/day...i am finally finding some relief...but i know i can't keep doing this much narcotic med for long...

good luck...huggggs lisa

Re: lisa k and ultram

BrianG on 5/08/02 at 17:02 (083113)

Hi Lisa G,

Just wondering why you feel you can't continue on with your current treatment for much longer? The patches are for long term pain treatment, and they are many, many people who use them for years. How often are you changing them? I know they are supposed to last for 3 days, but this doesn't always happen and the patient ends up with needless pain every 2-3 days. If this ever happens, make sure you tell your doc, he may have you put one on every 2 days. I think your fortunte to get some quality pain relief. Just don't stop without consulting your doctor.

BrianG

Re: Ultram: what you should know

lisa k on 5/09/02 at 02:50 (083165)

well one week of it, did call pharmacist, because not in my medical rx dictionary, he said newer medicine that has been out three years not classified as narcotic but he also mentioned never take more than eight in a day has caused seizures(i also take medium dose of nuerontin i need to ask if they interactat appt tommorrow)...does help with pain but makes me feel groggy sleepy and bit anxious - but no nausea or anything serious,the pain is worst when have walked around at all with the cast earlier that day or day prior not elevated rest completly- or when have it off to change socks or slip into shower birks sometimes-just ,think ill ask dr to just take one not twoshorter term and see if can be combined with lower dose of ibuprofen......high does of stamdard antinflammatory medicine needed to control pain -and was tearing my stomach lining aggraviting gurd problem .......thank you all for your information! because i had never even heard of it Have a great day Lisa k.

Re: Julie, feeling need of a friend and just a ear

Tammie on 5/09/02 at 18:49 (083288)

Julie, Thank you so very much! I guess I needed to hear this as I have been trying so very hard to get my life in some what order and relax! I am a worry wart, and this has always been a bit of trouble for me . I try to MAKE everything perfect or better and I try to say and do what ever it takes to make people happy including family. Sometimes it was very hard to allow myself to think about me. Like I did not matter or count. I try sometimes much to much to please everyone, if I feel like I failed I get anxious and try harder to be more perfect. So you see your tape and your wonderful soothing voice means alot to me.

Even if I just do the breathing and letting go and FEEL. I just cant tell you how much your voice calms me and it allows me to relax and feel. I still feel alot of pain tho I dont know if I have had any improvement, it does not seem to be helping there yet. I also have a ? for you if you might know about this or what i might try. I have been having a lot of rt. hip pain and soreness if I lay on my back I cannot lay flat lately the curve in the bottom of your back, it hurts and I have to put something under it or turn on side I can not seem to lay flat on back. My sore foot is my left I have a very heavy limp and I walk on my toes, lately I have been feeling more symtoms in my other foot, Im thinking compensary. What I wonder is , there something I might try to stretch or relax it somehow? I have never had this before it is new!

Some time ago many years ago I used to get back spasams, but have not had for a very long time. Recently I have had a few.I do see my pain dr. for my assesment May 20 yipppee! Yes I am learning to accept things BUT I have high hopes that they will be able to relieve some of this pain so that I may do simple things without so much pain! I have noticed a few other things and I am a bit concerned and I hate to address it as I fear the possiblity of more dx troubles. I have been expierancing hand tremors if I hold hand up more in left but in right also. I have had leg weakness that made me fall. I am expierancing some trouble swallowing lately it feels as tho food gets stuck and like it stops before it gets out of my throat area. I dont know if this can be medicine related or not. But it has been worrysome. I have No dr. at this time so hoping Pain Dr will help me out finding the proper medical people if needed.

I am feeling better about things tho , I am doing this one day at a time. If nothing else I am dropping a few pounds which I am delighted!! Thank you so much for just listening as I feel the urge to just talk to someone. I have been caught up settling my Mother in law and today was a stressful day and sad we put her in the care center I work at and I felt terrible that we did this as once I promised myself I would always take care of hubbys parents and mine and not allow them to be in a care center. I feel like I am not keeping my promise. She is a wonderful lady and has her faculties, but a very bad arthritic hip and knee they are considering hip replacement. So I just need to talk a bit tonight I am very sorry to bend your ear and take so much space up. I feel as tho I want to be safe and just talk.Thank you so much and I truly mean it. I am going soon to bathe and I will pop you in the recorder and you can work your majic! Hugs and thanks again

Re: John

Tammie on 5/09/02 at 18:50 (083289)

I agree thank you!

Re: lisa k and ultram

Tammie on 5/09/02 at 18:53 (083291)

I am glad you have found something to help with your pain, I feel as I am to the point also that ultram is not effective enough. But it is a remarkable medication. It was very helpful at some points and I found out that if you hit pain after it starts to be out of control it is not as helpful. But if you use before you get to that point it is very helpful and seems to be a fast acting medicine.

Re: Sharon

Tammie on 5/09/02 at 19:01 (083293)

Thanx Sharon , it has been a hard road to get to this feeling but if I am in alot of pain I can be very assertive. I will refrain from any pain meds the day of my vist to the Dr. but I wish the appt was later in day when it really flares. I have a morning appt. But I am going with a open mind but determined to get some answers and some ideas of what can be done. If I can keep my fears and head in control it will be best. I sometimes get overwelmed and lost but I am taking hubby for a second voice and ear. I have written many things down and I have all my medical records right here in a folder. I just got my xrays released I have to pick up yet. So I am trying to be well prepared! I will not leave that office till I get some PAIN RELIEF if I left without I would feel like my world is ending and I dont want to have to deal with that. LOL but each day a little at a time. Sharon you are a knowledgable lady and I admire you words of advice and information I read alot here. What is happening for you? Do you see a pod or a ortho? What is your long term outlook or plan? I am interrested. Hugs my friend.

Re: Julie, feeling need of a friend and just a ear

Julie on 5/10/02 at 02:38 (083326)

Hi Tammie

Morning here, and I've just seen your post. I've printed it out and will think about it and then write to you. Meanwhile I send my love.

Julie

Re: Julie, feeling need of a friend and just a ear

Julie on 5/10/02 at 11:27 (083386)

Hi Tammie

First of all, let's focus on the positive - which is that you're now taking time for yourself, and giving some thought to your own needs. And you are realizing that it's possible to do this and still be there for others. You're finding a balance.

It's not just my voice and the tape that are helping you. It's the fact that you're making time to use it. (In the bath is a great idea, by the way - a good solution to the privacy problem you told me about a few weeks ago!) That means you've made the decision to help yourself, and everything is following on from that - and will continue to do so.

The pain in your right hip and your back is, I would guess, an effect of your having had to limp to favour your left foot for so long. This has been throwing you out of balance, and all the joints and muscles on your right side have been affected by that. The ultimate solution is obviously to get the pain in your the left foot under control to the point where you don't have to limp, and let's hope that the pain management people will be able to offer you really effective help with this.

Meanwhile, I would suggest that you stay off your feet as much as you can (I know you're trying to, so I don't really need to say this).

Don't lie flat on your back. Your lower back muscles are irritated, and if you lie on your back you should bend your knees. A pillow, or a rolled-up blanket placed under the knees will help. (This is because bending the knees releases the hamstring muscles which connect the knees and the lower back: when the legs are straight, those muscles pull on the lower back.)

I wouldn't sleep on your back, or on your front, either, which is probably also painful for your lumbar. On your side will probably be best, with a pillow between your knees: this takes the strain off the hip and lower back. I expect the left side will be more comfortable, as the pain is on the right - but you need to experiment.

I hesitate to comment on the other symptoms you mention - as you know, I'm not medically qualified. I don't know whether they could be related to the medication you're taking. But in view of what I said above, about the effect of limping on your spine, it wouldn't be a bad idea to have a complete workup of your spine: it's possible that being a bit out of balance has caused pressure on one or more of your discs, which in turn could be impinging on a nerve or two. But this is just a suggestion - I don't know.

The main thing is, don't be afraid to address them. The squarer you look something in the face the less frightening it is, and the quicker it can be dealt with. Make notes of all these new little things as well as of the 'main' stuff, and don't forget to tell them about it when you have your appointment on May 20.

I hope this long post is some help. Remember that I'm only putting thoughts together based on what you've told me, and I may be wrong. Don't hesitate to come back to me if anything isn't clear. And don't forget that you have many friends here, and that we all care about you.

Lots of love to you

Julie

Re: Ultram: what you should know

Sharon W on 5/06/02 at 14:44 (082666)

Lisa,

I really wouldn't say Ultram is all that 'mild'. It is indeed a derivitive of synthetic codeine, but it acts on the opioid receptors -- which is to say, it acts kind of like opium in your body. (It should really be good for knocking out some of that pain you've been in!) As for being non-addictive: Ultram was believed to be non-addictive when it first came out on the market, but that promise has not been borne out. A year after it came out, the FDA had to require new warnings of Ultram's addiction dangers, because they had received more than 100 reports of addiction and overdose problems. (Perhaps your Dr. didn't see the warnings that came out at that time.) Usually there are no withdrawl symptoms from this drug if it is tapered down gradually, though.

Ultram can either raise your blood pressure or cause it to suddenly drop when you stand up, possibly making you feel dizzy or faint. You should probably check your blood pressure now and then. And you should probably have blood work done every now and then, if you continue taking this drug for a long time, to make sure your kidneys and liver are doing OK.

But it's a very effective medication, especially for chronic pain, and I take it occasionally myself. You should take it BEFORE the pain gets really intense, not wait until you're practically curled up in fetal position and moaning!

-- Sharon

Re: Ultram: what you should know

Sharon W on 5/06/02 at 15:02 (082669)

Lisa,

I forgot to mention: don't drink alcohol while you're taking Ultram. And sometimes it can make you drowsy or dizzy, or you might feel a little confused or anxious. (If you start seeing hallucinations, though, call your doctor right away!)

I also should clarify that although Ultram HAS turned out to be addictive, it is not AS addictive as opioids, and for chronic pain it is probably as effective. For those reasons it is generally considered 'safer' for long-term use.

-- Sharon

Re: anyone heard of ultram medication

Ed Davis, DPM on 5/06/02 at 18:27 (082707)

Lisa:

Sharon's information is rather complete concerning Ultram (tramadol). It is probably less addicitve than codeine or vicodin (hydrocodone) and may cause less drowsiness. Synthetic narcotics or narcotic analogues, while designed to have advantages occasionally have unusual reactions with specific patients.
The manufacturer, Orth-McNeil, has more recently introduced Ultracet which is Ultam plus acetominophen. It has a reduced tramadol dose and seems to work better for musculoskeletal pain.
Ed

Re: Ultram, good for moderate pain

BrianG on 5/06/02 at 21:14 (082732)

I think one of the biggest problems with Ultram is that is not a long acting med. You will need more doses per day, to ensure you body is getting a constant supply in the blood stream. If your looking for something to occasionally take for pain, this is worth trying. If you want around the clock relief, you'll have to step up to the pain meds that are designed to last 8-12 hours. A normal dose of a regular pain med (Ultram) may only last 4 hours, which can lead to a yoyo effect (up and down) of pain control. This would be the same time frame as Vicodan, Percoset, etc. It's better than nothing, but it's not the 'gold standard' for pain relief. Good luck with it.

BrianG

Re: anyone heard of ultram medication

john h on 5/06/02 at 21:52 (082736)

I have taken Ultrm off and on and have never had a problem with it. It was originally prescribed with 1 tablet every 6 hours as needed. I have never taken more than 2 in one day and never noticed any effects other than some pain relief. My doctor said that even though it is not a narcotic it is a street drug and has considerable value when sold on the street. Actually, it is the only drug that I have taken that provided any relief at all and it is not very much probably because I do not take the 4 a day as prescribed.

Re: Ultram, good for moderate pain

john h on 5/06/02 at 21:53 (082737)

Brian your take is about the same as mine.

Re: anyone heard of ultram medication

Ed Davis, DPM on 5/06/02 at 23:25 (082745)

John:

It may be my experience in particular but it seems that female patients have more side effects with Ultram than males.

It seems to work better for pain of neropathic origin than most pain drugs.
It is not 'officially' a narcotic but shares similarities with opioids.

I have found it to be very useful for a number of patients.
Ed

Re: Ultram, good for moderate pain

Ed Davis, DPM on 5/06/02 at 23:29 (082746)

It is possible to take up to 8 - 50 mg. Ultram tablets per day without side effects according to the manufacturer. They appear to be correct. Patients are sensitive to the drug or they are not. Those who tolerate it well can probably get by with the 8 per day dose as long as they work up to 8 gradually. There is some controversy as to a mild addiction potential.

Modern technology would probably allow formulation of a longer acting version. FDA approval and fears of abuse of a long acting version may put a damper on its development.
Ed

Re: anyone heard of ultram medication

john h on 5/07/02 at 08:52 (082778)

Dr Ed: Interesting comments about Ultram. Of course women have different hormones or different amounts so perhaps this may account for the effect. My doctor of many years said he is careful in prescribing the drug because it can be sold and many try it. He has no problem with me using it long term if I want. I always keep some available but do not take it on a regular basis. It is relatively inexpensive, does not bother the stomach that I know of, and certainly does not make me feel anything.

Re: anyone heard of ultram medication

Tammie on 5/07/02 at 09:29 (082790)

I have been taking ultram for some time now. I feel that it is good to take a edge off of pain but it does not take nearly enough of the pain away! I never cared to take meds for anything before foot pain,but now I will say that I religiously take the ultram as if I dont I do not get any kind of relief. I also have noticed by hubby pointing out that I take much more then is allowed .I wake up often at night and in order to get back to sleep I have to take something to take the edge off and allow me to sleep.I worry someday that I may be addicted to it as it seems I cannot do anything with out it. I know I take at least the 8 a day but I believe it is more then that as thru the night I take also. I take more some days and then somedays not as much ,if it is a good day and I am not working and irritating it by being on my feet ,or out running endless errands and shoping and such.

When I first started taking I had some dizzy and sick like feelings now I have nothing . It takes 2 instead of one to get a relief. I think the body builds up to it and it looses its efectness.I am hoping that this pain management apt. helps me in a safe way. It is coming soon May 20 I can hardly wait for it, seems like I have been waiting for months and months. I am hoping they will be able to help with out the fear of addiction and allow me to function without always feeling pain, as it never completely vanishes.But there are times It is much less and more dealable.I think maybe Julies Tape has indeed helped me some!

Re: Tammie

Sharon W on 5/07/02 at 11:06 (082811)

Tammie,

I am SO glad you're going to pain management. It sounds as if you have had too rely too much on Ultram, for too long, and your pain is really too strong for it.

But I am sure the pain specialist will be able to help you find a regimen that works much better for you. I am so sorry it has taken this long for you to get an appointment, though; I don't pretend to understand the pain of RSD but TTS pain can get pretty bad, by itself. And I know you have always been 'stoic' and therefore have just 'lived with' the pain and worked through it. Hang in there, my friend, because relief is in sight!

-- Sharon

Re: A new class of pain meds is needed !!

BrianG on 5/07/02 at 17:07 (082870)

Yes, you could probably take up to 8 a day, to get maxamum effect. I've talked to people who were on this type of time table, and it usually involves setting the alarm clock and taking a dose in the middle of the night.

I think the addiction / accomodation issues are just as relevant as any onther narcotic. What the industry needs, is a new, non-narcotic pain med that will work as well as any of the currant narcotics. When that happens, it will be a GIANT breakthrough !!!

BrianG

Re: anyone heard of ultram medication

john h on 5/07/02 at 18:23 (082886)

Tammie: Go for a few days without taking Ultram just to prove to yourself you are not addicted and then forget about it.

Re: A new class of pain meds is needed !!

Tammie on 5/07/02 at 18:27 (082888)

Brian, who neds a alarm clock with pain? It always wakes me up I dont need any thing else to do it lol. I am serious now, I take before I go to bed , my elevil 50 mg, I take paxil in evening and I take 2 ultrams before I go to or I should say before i am able to sleep. I will wake up in about 2 hours sometimes if I am very lucky I may get a break and sleep longer before the pain wakes me it always feels as tho someone thrust a large chunk of glass in my foot and it is on fire. Then it changes to lol sometimes it feels very cold like I cant warm it I sometimes take a hot pack and try to sleep with it warm.

But getting back to the ultram, I go to bed between 9and 10I can say that I am up at least 3 times before 4 and sometimes the 3 time is 4 and I have to get up for work anyway, or if I am not working I will take 2 more ultram and see if I can sleeptill 6 or 7.When i last seen my primary dr. she told me i can basically take what I need and not to worry about addiction. Till I get in to my pain appt.Dr. Hubby joked before he left what shall I do if they do nothing for me I said I intend on sitting right there on the floor even and refuse to do anything till they agree to help with this darn pain. He said if I do he will be surprised lol yea I am going to tell him take the video cam if he likes I will make my history!

I just believe that ultram has a quick effect I mean it seems to work quickly if it is going to help any. It used to help me sleep but not anymore it is like taking candy or placebo.

Re: Tammie

Sharon W on 5/07/02 at 18:32 (082890)

Tammie,

You go girl! Don't take 'no' for an answer from that pain Dr., after all that time you had to wait! I love your assertive attitude!!

-- Sharon

Re: anyone heard of ultram medication

Tammie on 5/07/02 at 18:46 (082897)

John I have tried to go longer times in between and I never take on a time frame as when I did I just could not take it . To much pain. I wait it out as long as I can without crying, sometimes I try warm heat as it works to calm sometimes and then sometimes I am hot so I put foot in warm water not icey as ice seems to really irritate it more .I really dont know if It is addiction and at this point I can not worry as it is either that or life with unbearable pain.I am looking foward to seeing what they are going to do or suggest I do .May 20 cant get here soon enough I am counting down. LOL sometimes at night when I cant stand my foot I try moving it around pillow is its friend not a enemy I tell it and I put it between calf and ankle so my foot does not touch bed or anything. Then I might get my hot pack it is soothing also! Also Julie has the most calming voice i have ever heard she has a beautiful way of soothing my head, I turn her on and sometimes just listen to her voice it is weird but it helps me relax.Sometimes I get goose bumps lol I cant figure why but it does .

Re: Ultram: what you should know

Monte on 5/07/02 at 20:38 (082917)

I got a phone call from my pharmacy today warning me that Ultram has been known to cause seizures even at normally prescribed dosages and that risk is increase if youalso take another 'downer' type of medication. Please read the warning instructions and be careful. I got rid of mine.

Re: anyone heard of ultram medication

john h on 5/07/02 at 21:38 (082925)

Odds of becoming hooked on ultram are really low. even less if you are in pain. you got to deal with the pain first and formost so do what ever works.

Re: Ultram: what you should know

john h on 5/07/02 at 21:45 (082926)

Ultram is probably much less dangerous than a lot of widely used anti inflamatory drugs. certainly one should heed the warnings on med containers but all of them carry warnings of serious side effects to protect the manufacturers from lawsuits among other things. Seems like half the drugs I have taken at one time or another warn that it can cause seizures. some of the drugs my wife took for cancer warned of side effects that sounded as bad as the disease but you do what you got to do.

Re: Tammie, you're doing well

Julie on 5/08/02 at 01:55 (082949)

Hi Tammie

You know, there is a huge difference in your posts these days. I just have to tell you this. You sound now as though you've genuinely taken control of your situation - looked it square in the eye and said, 'OK, that's how it is, now I'm going to accept it and deal with it'. Is that right? I think it must be, because - that's how it sounds.

Please don't worry about getting addicted. You're dealing with major pain, and as John says, you do what you've got to do. When do you see the pain management doctor? I hope you won't have to be assertive with him, I hope he'll be helpful, supportive, compassionate and sensible. But if you do have to be assertive - I know you'll be able to.

I'm glad you enjoy my voice on the tape. No, it isn't weird that you find it relaxing - remember, it's my profession and I've been doing this work for 15 years. The voice is part of it. It's God-given, but I've learned how to use it. I feel very fortunate to be able use it to help.

Re: lisa k and ultram

Lisa G on 5/08/02 at 12:00 (083053)

just throwin my 2 cents in lisa...i took ultram religiously for over a year...it helped...but after awhile really did nothing for my feet pain...it was the one drug i've taken that i didn't have many side effects...so give it a try...can't hurt really...i was at the point where i was taking 4 every 2-3 hours...

i'm now on some pretty heavy narcotics...a duragesic patch and vicodin 3x/day...i am finally finding some relief...but i know i can't keep doing this much narcotic med for long...

good luck...huggggs lisa

Re: lisa k and ultram

BrianG on 5/08/02 at 17:02 (083113)

Hi Lisa G,

Just wondering why you feel you can't continue on with your current treatment for much longer? The patches are for long term pain treatment, and they are many, many people who use them for years. How often are you changing them? I know they are supposed to last for 3 days, but this doesn't always happen and the patient ends up with needless pain every 2-3 days. If this ever happens, make sure you tell your doc, he may have you put one on every 2 days. I think your fortunte to get some quality pain relief. Just don't stop without consulting your doctor.

BrianG

Re: Ultram: what you should know

lisa k on 5/09/02 at 02:50 (083165)

well one week of it, did call pharmacist, because not in my medical rx dictionary, he said newer medicine that has been out three years not classified as narcotic but he also mentioned never take more than eight in a day has caused seizures(i also take medium dose of nuerontin i need to ask if they interactat appt tommorrow)...does help with pain but makes me feel groggy sleepy and bit anxious - but no nausea or anything serious,the pain is worst when have walked around at all with the cast earlier that day or day prior not elevated rest completly- or when have it off to change socks or slip into shower birks sometimes-just ,think ill ask dr to just take one not twoshorter term and see if can be combined with lower dose of ibuprofen......high does of stamdard antinflammatory medicine needed to control pain -and was tearing my stomach lining aggraviting gurd problem .......thank you all for your information! because i had never even heard of it Have a great day Lisa k.

Re: Julie, feeling need of a friend and just a ear

Tammie on 5/09/02 at 18:49 (083288)

Julie, Thank you so very much! I guess I needed to hear this as I have been trying so very hard to get my life in some what order and relax! I am a worry wart, and this has always been a bit of trouble for me . I try to MAKE everything perfect or better and I try to say and do what ever it takes to make people happy including family. Sometimes it was very hard to allow myself to think about me. Like I did not matter or count. I try sometimes much to much to please everyone, if I feel like I failed I get anxious and try harder to be more perfect. So you see your tape and your wonderful soothing voice means alot to me.

Even if I just do the breathing and letting go and FEEL. I just cant tell you how much your voice calms me and it allows me to relax and feel. I still feel alot of pain tho I dont know if I have had any improvement, it does not seem to be helping there yet. I also have a ? for you if you might know about this or what i might try. I have been having a lot of rt. hip pain and soreness if I lay on my back I cannot lay flat lately the curve in the bottom of your back, it hurts and I have to put something under it or turn on side I can not seem to lay flat on back. My sore foot is my left I have a very heavy limp and I walk on my toes, lately I have been feeling more symtoms in my other foot, Im thinking compensary. What I wonder is , there something I might try to stretch or relax it somehow? I have never had this before it is new!

Some time ago many years ago I used to get back spasams, but have not had for a very long time. Recently I have had a few.I do see my pain dr. for my assesment May 20 yipppee! Yes I am learning to accept things BUT I have high hopes that they will be able to relieve some of this pain so that I may do simple things without so much pain! I have noticed a few other things and I am a bit concerned and I hate to address it as I fear the possiblity of more dx troubles. I have been expierancing hand tremors if I hold hand up more in left but in right also. I have had leg weakness that made me fall. I am expierancing some trouble swallowing lately it feels as tho food gets stuck and like it stops before it gets out of my throat area. I dont know if this can be medicine related or not. But it has been worrysome. I have No dr. at this time so hoping Pain Dr will help me out finding the proper medical people if needed.

I am feeling better about things tho , I am doing this one day at a time. If nothing else I am dropping a few pounds which I am delighted!! Thank you so much for just listening as I feel the urge to just talk to someone. I have been caught up settling my Mother in law and today was a stressful day and sad we put her in the care center I work at and I felt terrible that we did this as once I promised myself I would always take care of hubbys parents and mine and not allow them to be in a care center. I feel like I am not keeping my promise. She is a wonderful lady and has her faculties, but a very bad arthritic hip and knee they are considering hip replacement. So I just need to talk a bit tonight I am very sorry to bend your ear and take so much space up. I feel as tho I want to be safe and just talk.Thank you so much and I truly mean it. I am going soon to bathe and I will pop you in the recorder and you can work your majic! Hugs and thanks again

Re: John

Tammie on 5/09/02 at 18:50 (083289)

I agree thank you!

Re: lisa k and ultram

Tammie on 5/09/02 at 18:53 (083291)

I am glad you have found something to help with your pain, I feel as I am to the point also that ultram is not effective enough. But it is a remarkable medication. It was very helpful at some points and I found out that if you hit pain after it starts to be out of control it is not as helpful. But if you use before you get to that point it is very helpful and seems to be a fast acting medicine.

Re: Sharon

Tammie on 5/09/02 at 19:01 (083293)

Thanx Sharon , it has been a hard road to get to this feeling but if I am in alot of pain I can be very assertive. I will refrain from any pain meds the day of my vist to the Dr. but I wish the appt was later in day when it really flares. I have a morning appt. But I am going with a open mind but determined to get some answers and some ideas of what can be done. If I can keep my fears and head in control it will be best. I sometimes get overwelmed and lost but I am taking hubby for a second voice and ear. I have written many things down and I have all my medical records right here in a folder. I just got my xrays released I have to pick up yet. So I am trying to be well prepared! I will not leave that office till I get some PAIN RELIEF if I left without I would feel like my world is ending and I dont want to have to deal with that. LOL but each day a little at a time. Sharon you are a knowledgable lady and I admire you words of advice and information I read alot here. What is happening for you? Do you see a pod or a ortho? What is your long term outlook or plan? I am interrested. Hugs my friend.

Re: Julie, feeling need of a friend and just a ear

Julie on 5/10/02 at 02:38 (083326)

Hi Tammie

Morning here, and I've just seen your post. I've printed it out and will think about it and then write to you. Meanwhile I send my love.

Julie

Re: Julie, feeling need of a friend and just a ear

Julie on 5/10/02 at 11:27 (083386)

Hi Tammie

First of all, let's focus on the positive - which is that you're now taking time for yourself, and giving some thought to your own needs. And you are realizing that it's possible to do this and still be there for others. You're finding a balance.

It's not just my voice and the tape that are helping you. It's the fact that you're making time to use it. (In the bath is a great idea, by the way - a good solution to the privacy problem you told me about a few weeks ago!) That means you've made the decision to help yourself, and everything is following on from that - and will continue to do so.

The pain in your right hip and your back is, I would guess, an effect of your having had to limp to favour your left foot for so long. This has been throwing you out of balance, and all the joints and muscles on your right side have been affected by that. The ultimate solution is obviously to get the pain in your the left foot under control to the point where you don't have to limp, and let's hope that the pain management people will be able to offer you really effective help with this.

Meanwhile, I would suggest that you stay off your feet as much as you can (I know you're trying to, so I don't really need to say this).

Don't lie flat on your back. Your lower back muscles are irritated, and if you lie on your back you should bend your knees. A pillow, or a rolled-up blanket placed under the knees will help. (This is because bending the knees releases the hamstring muscles which connect the knees and the lower back: when the legs are straight, those muscles pull on the lower back.)

I wouldn't sleep on your back, or on your front, either, which is probably also painful for your lumbar. On your side will probably be best, with a pillow between your knees: this takes the strain off the hip and lower back. I expect the left side will be more comfortable, as the pain is on the right - but you need to experiment.

I hesitate to comment on the other symptoms you mention - as you know, I'm not medically qualified. I don't know whether they could be related to the medication you're taking. But in view of what I said above, about the effect of limping on your spine, it wouldn't be a bad idea to have a complete workup of your spine: it's possible that being a bit out of balance has caused pressure on one or more of your discs, which in turn could be impinging on a nerve or two. But this is just a suggestion - I don't know.

The main thing is, don't be afraid to address them. The squarer you look something in the face the less frightening it is, and the quicker it can be dealt with. Make notes of all these new little things as well as of the 'main' stuff, and don't forget to tell them about it when you have your appointment on May 20.

I hope this long post is some help. Remember that I'm only putting thoughts together based on what you've told me, and I may be wrong. Don't hesitate to come back to me if anything isn't clear. And don't forget that you have many friends here, and that we all care about you.

Lots of love to you

Julie