I've been taking tramadol for more than 5 years & it definitely helps with the pain . Luckily I don't get any bad side effects from it , but like Susan, I take the slow release version twice a day. This means it's in my system 24 hours a day. I just wondered if maybe this would help with the nausea etc Christina , as you would have a steady amount in your system so your body may cope with it better. Have you spoken to your GP about this ? Maybe they could help. Good luck, & I hope you can carry on taking Tramadol.

I take Tramadol as well. I can only take it at night because of the nausea, and I take Ginger Root pills with it to help combat that. I also take some food with it, that seems to help as well. Haven't found any relief from the hot flashes yet, but my office at work is kept at a very cool temperature where most people wear sweaters all the time and I'm in short sleeves. Night sweats, I keep my room really cool and use a fan. Sorry I'm not much more help than that.
@A MyFibroTeam Member I didn't realize there was an extended release version of Tramadol. I take 50-100mg every night, and I'm usually good until early afternoon the next day and at that point I just push through until the evening. I've rarely had to take it during the day, I try to do Tylenol instead. Do you find the extended release version helps through the whole day?

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A MyFibro...

I take 150 mg slow release, but unfortunately I can't take diclofenac as it gives me terrible stomach cramps, but it seemed to be a good painkiller . I'm glad it's helping you Susan .

Yes, there is an ER version of Tramadol. It is only 100mg but as helped tremendously. I take it also with Diclofenec Sodium DR 50mg. The Diclofenec is an NSAID which taken together, I have steady release of both pain med and anti inflammatory. This combo has been great. Then 50mg tramadol for breakthrough pain which is rare. No stomach issues. I discovered they interfere with sleep! So I take them in AM as opposed to before bed now. Yes, very occasional hot flash and hate them but they come and go fast. Must take them all with food of course. My pain doc emphasized importance of keeping up with pain and maintaining treating it as opposed to only taking meds when you really hurt. We like to think we are tough but it's counterintuitive to keeping it manageable. Steady meds keep everything from going full flare on you. It will still happen occasionally but just much less often. really hope you get to bottom of side effects!

I do not take Tramadol regularly but I do seem to get a strange sort of vertigo from it at night, no matter what time I took it during the day. I had terrible nausea upon starting a different medication but after 3-4 days it went away. I also have hot flashes, which I believe are part of my symptoms set rather than a Rx side effect. I keep a fan nearby, always have a hair tie to get my hair off of my neck, and prefer shoes that can easily be removed, etc. However, it sounds like you are having a pretty serious reaction--maybe even an allergic one--if you are actually throwing up the medicine. There are other options and I would exhaust that list before settling for a medication that makes me just as uncomfortable, but in a different way. Good luck!