Yes, I read about
a pain doc, thought it was you writing. I hope you are cutting pills with a pill cutter, not a knife. Cutters with the rubber V-shaped edges do a pretty good job of holdiing even odd-shaped pills in place. You might even be able to quarter the pills.
Your rheumy is right about
tramadol - that is if you are having trouble with fibro muscle pain. If the pain seems more like arthritis or joint pain the Vicodin (hydrocodone) might work better. The only thing about
hydro is you may get tolerant to it pretty quickly. I use the tramadol partly because I haven't had much problem with tolerance in a year, and I get Vicodin tolerant in a month. Since I can't take anything else because of sensitivities, I want to save Vicodin for surgical pain.
Tramadol regular (instant release) only works for about
4 hours. There is an extended release, also generic, that is supposed to work 12 hours, seems to be good for about
10 for me. I take that at night, or I have to get up take another pill and sit up for 45 minutes waiting for it to work. Regular tramadol also wakes me up, keeps me awake if I take it at night, which the extended does not do. ER is not as good as the IR for pain, but better than nothing, which is all I have left.
You had some interesting points. I should look up my drugs and see how they are metabolized.