Tramadol Slow Release or Quick Release?

My own experience with slow release is exactly what you are talking about. I've yet to find a medication that releases so evenly that you're getting a full dose all the way to the end, and you won't be able to take more until your time is up.

Much depends on your own preferences. Time-release would be better for nights, I suppose. Longer acting could help. Tramadol is a good drug for people in your situation. Talk with your pharmacist and see what he or she thinks.
Take care,
Carol

Much depends on your individual metabolism. If you find yourself loopy after an hour and in pain before the next dose, consider the Extended Release OR split the tablet in half and dose it in half the time. Taking it with food will also spread the effect out longer. I found I also needed a daily stool softener, because it will constipate me. On the up side, it relieved the pain without turning me into a drooling idiot.

I have no idea but flexorol for back pain is a muscle relaxant which will get you through the night. Good Luck.

As previously stated, Time Release is still iffy at best and if it wears off too soon, or doesn't release evenly, you're in for a painful length of time. I haven't found Tramadol capable of delivering satisfactorily. Flexaril is indeed a good secondary choice, especially if you suffer from muscle spasms (as that's what Flexaril is prescribed for, but doesn't touch the actual pain in my experience.) Gabapentin or Neurontin is another good drug that helps control nerve pain. The stool softener is an excellent point and Miralax is the most reliable and easiest on the system I've found (it is mild enough for babies and strong enough for the elderly with bowel issues so it's an all around solution without gas attacks and pain associated with harsh laxatives.) Use alternative means to help control the pain as well, I have used Brain Control (to go to my happy place), chiropractic to get the bone off the nerve, acupuncture to relieve the stress, slow walks on even grass while wearing very cushioned shoes, and daily prescribed exercises to list a few. Good luck to you...

Tramadol is a mid level synthetic opiod.. If you start on the immediate release and when you have satisfactory relief you can change over to the extended relief. The total amount of medication you needed each day with the immediate release is added up and that gives the correct dose for the extended release. You should also have a medication available for breakthrough pain so you can
get relief if needed before the next dose of extended release is due. It is important to remember this drug contains Tylenol so you must not exceed the prescribed daily.dose An over dose of Tylenol will severely damage the kidneys and can lead to death. When the mid level opiods cease to control the pain it may be necessary to move up to the top tier and use morphine or one of the other strong pain meds. Meeting with someone in a pain clinic would be helpful. The most important thing with extended release is to have a breakthrough medicine available. Any of these pain meds will cause constipation so anticipate this and start bowel regime straightaway.

I just goggled Tramadol to see if it contains Tylenol since I take Tramadol and was told by the pharmacist I could take Tylenol at the same time I take Tramadol. WebMD says Tylenol may be prescribed with Tramadol, so I don't think Tramadol is a combination of synthetic narcotic and tylenol, just the synthetic narcotic alone. Tylenol, taken in excessive amounts can cause Liver damage, lead to liver failure and death. Breaking Extended Release tablets can alter the mechanism of release, changing how they are released. I don't know if this is the case with Tramadol. Generally it isn't recommended to break, crush, or chew Extended Release products.