I been using it for many years long ago as needed thats when I still had good days, Now now one a most days two on bad I'm allowed up to 3 a day. Very seldom use three.

Tramadol is one of those medications when you get the feeling you need more. A low dose is the best way to start with this as the longer you are on it the harder it is to stop it.
When I was working I was on a much higher dose than I am now. I used to be on 6 50mg tablets
2 to be taken 3 times a day. I never took the whole dose as it made my body race then I'd crash. I cut it down to 4 tablets a day 1 tablet at a time. It was great at first I really thought I'd found the best cure for this pain. Then slowly it stopped working so great. It still took the edge off. I'm on 3 tablets a day now. I need extra help with the pain. My pain comes mostly from the EDS I don't need to do much to be in agony the following day. Personally I wish I'd never had to take them or any drugs that are controlled. As when you hit 60 here they pull you off everything they have put you on for the past 30 plus years and they try to pull you off on their terms not the safety terms. There are safety guidelines for all doctors surgeries, our doctors get a proverbial political slap on the wrist every month for how many controlled drugs they write prescriptions for. If I hadn't nursed I would not know this. I am also on a muscle relaxant which when tapering the dose should be 5% per month. My doctor tried to taper my medication at 26% without my knowledge. So make sure you speak openly with your doctor, I get the feeling they are alot more capable and understanding in America. Take care Peps 🥀🌼🌻🪻

Tramadol was the only painkiller I liked but in time it started affecting my lungs and I started having a breathing issue unfortunately so I had to stop.