I've been using Ultram ER for about 4 years, moving from 200mg to 300mg. It probably is losing its efficacy and also I think my pain is just getting worse.
Since it is so expensive ($800 for a 90 day supply), I'm going to finish what I have before talking to my doctor about trying something different. We've already discussed moving to 400mg, but he won't prescribe it due to the risk of serotonin syndrome.
I typically use 10-15mg of hydrocodone mid-day during the days I'm working as it doesn't interfere with my concentration. Other days, I'll take 5-7.5 mg of oxycodone.
I'm now also taking these break-through meds about 15x per month, whereas a year ago, it was more like 8-10 times per month.
So, I'm wondering about what time-release opioid I should move to? Would the next step be oxycontin, or are there others somewhere between that and the Ultram?
I'd appreciate hearing about your experience with the time release options.
C4-T4 Scoliosis (disk degeneration, stenosis, narrowed neuroforamen, bone spurs)
RT hip and SI joint damage from car accident
Current meds: Ultram ER 300mg daily, daytime breakthrough - hydrocodone 10-15mg, nighttime breakthrough - tapentadol (nucynta) 5-10mg.