I have spina bifida along with two herrington fusions. Sadly, they were not successfully fused, and I'm in pain. I'm just getting established with a new pain doctor. He put me on 50 mg of Ultram but I haven't felt relief yet. How soon do you start to notice the effects of this medication?
Ultram or tramadol is commonly used for back pain, though people have mixed opinions on how well it works. General recommendations for Ultram are 1-2 50 mg. tablets every 4-6 hours for severe pain with no more than 8 pills a day.
Ultram's effects can wane after a few weeks in some people, which suggests that it should take effect fairly quickly but I was unable to get a good answer on that. There is generally a phase-in period if you're going to be taking higher doses of the drug so if you're in the beginning of that you won't be seeing all the effects of the drug.
If you're looking for a specific answer you can call your pharmacist--they should know more about how quickly you'll be able to feel pain relief.
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Tramadol doesn't work worth a heck! If you're pain scale 1-10 is high, insist that your doctor give you something to help you. Tramadol also has some drug-drug interactions that aren't good.
Tramadol should help in 15 minutes to a half hour. If you're thinking it needs time to build up, no. It's a non-narcotic that works in two ways. One is as a mu opiod agonist, meaning it acts like an opoid, and secondly by working on the serotonin system. That may be where the idea that it took time to work came from, because most drugs that get used for pain that work on the serotonin system are tricyclics that take 2-12 weeks to work. If tramadol doesn't at least help a little in half an hour it's never going to. Ask if something else might be more effective.