exitwound, thanks for the concern! I am well aware that 400mg is considered the maximum safe dose, however, Hydrocodone isn't available in England, period, and it is mostly very rare for doctors to prescribe Oxycodone or Fentanyl... I don't really have a choice but to take the Tramadol (without breaking the law, and illegal opiate possession carries a prison sentence!).
I have such a massive tolerance to it that many of the dose-dependent side effects are significantly reduced in me now - and I have my suspicions that the headache could be early onset of serotonin toxicity, but hey, with tramadol, there's a possibility of illness, without tramadol, there's sure fire agony - my cost/benefit analysis comes out in favour of Tramadol every time.
Edit - I should point out that I have monthly blood work, and I have never ever had an abnormal test result, all organ function is near perfect, and I have no stomach problems. Neurologically speaking I'm sound, and even inflammatory markers like CRP are only mildly elevated. I'm extremely healthy for someone so ill! ... the point I'm trying to make is that I'm under close medical supervision, so any problems with dosage would be made apparent..
Post Edited (JayBespoke) : 9/1/2010 1:51:45 AM (GMT-6)