I was recently put on these patches and was hoping someone else here is on them and can tell me what to expect mid-long term.


Basicly, I have had a bad back for years, lower down the spine, in the middle but it dodesn't spread. I have taken tramadol for many years now and I have built up tolerance which is why i asked to change to something else.

the patch is working wonders at 37ug/hr and am looking forward to get onto the 50 and coming right of tramadol to a PRN only dose with paracetimol.

How long can I expect that dose to provide effective pain relief? I am desperate not to go above 50 for a long time, because it frightens me the pain is 24/7 and if I cant go higher, i am screwed. I am only 28 so I have a long time to go and dont wanna be maxed out on the dose say 5 years time and then pain creeping up and up with nothing to be done.