I use tramadol for lower back pain. For about a year, my doctor had me on 180 a month. The instructions say "take one to two by mouth every six hours as needed for pain. I usually take two in the morning (around six am), one or two in the afternoon (around 1 pm) and two in the evening (around 9pm).
My problem is that on my last prescription, he reduced the number from 180 to 120 but didn't change the instructions. I didn't notice the reduced dosage until I ran out of the medication a lot sooner than I normally do. There was a refill, so I went ahead and got it since, by the doctors instructions, it wasn't too early. But in order for each bottle to last a month, I can't take more than four a day. I don't recall the conversation we had nearly two months ago when I saw him last. It was kind of a hit and run type meeting because a bunch of kids were there that day for immunizations and physicals since school was starting up. In other words, he was in a hurry. Maybe he did say to only take four a day, but we talked about several things in a span of about five minutes, if that.
If he wanted me to go down to four a day, no problem. I can always throw a tylenol or ibuprofen into the mix if need be. But I'm in a situation where I don't know who screwed up: Him or me...or maybe even the pharmacy.
Yes, I realize he might have just made a mistake on the prescription by reducing the number without changing the instructions, but how do I approach him about it without putting myself in danger of him discontinuing the medication. Prescription drug abuse is a huge issue right now, and I don't want to do anything that might cause him to be suspicious that I'm taking more than I am supposed to.