I was prescribed tramacet which did nothing for me.. Ralivia was useless.. but Tridural, which is a type of Tramadol, is working for me very well. I take 300mg slow-release tablets every 24 hours. It is, however, extremely dehydrating at first, and gives me difficulty urinating. I used to be up 7 times a night to pee, and then sat there and had to concentrate to pee! I just thought I would ask if anyone else had the following problem with Tridural: I had been taking it in the afternoon, and I was extremely lethargic and sluggish midday when it began to wear off. I also had insomnia at nighttime. After suffering like this for a few months, I finally clued in to what was causing this lack of energy, and I decided to experiment with the time I took my pill. When I took it before bed, I was wide awake at 5am ready to clean the house! When I waited till morning to take it, my pain was too severe to get out of bed, and I was sluggish again (from withdrawal). Finally I set my alarm and took it at 4:30am, and by 7:30 am I am feeling terrific and am full of energy all day long. I just thought it was important to share this since the time of day really made a huge difference to my quality of life.
By the way, I am using Tridural for pain from "Enthesopathy" or migratory polyarthropathy. In my own words, all of my tendons in my body are weak and very painful. I have trouble walking and carrying my little kids, and some days I feel like all of my limbs are broken and I can't even function or be around my kids, they find it too upsetting.