I have never used the apotex brand, but I just wanted to say I also think that the cor 127's are the best. I also like the 377's as they seem to boost energy. It seems like now all I ever get are the ones that have 'AN' on one side, they are small white round pills. They are okay, they really all seem the same to me, just a tiny difference in the cor 127's.

Ok, I got these APO's last time. First time for me too. They work well, however they make me tired. Which is very weird, since Trams usually have the opposite effect on me. The first time I took the APO's I got this big whoosh feeling at like the two hour mark. They seem really strong but don't last as long as others. That's how they effect me.


The 377's don't work for me as well. The Cor's and the AN 627 usually work best for me. I'd be interested to know how these APO's work for you, since I like the cor 127 best too and the 377's don't work for me either. Sounds like we have similar chemistry or something. Also, how to the AN's work for you?

The AN's are fine. They work about the same as anything else. Did you get the APO's from a local pharm or did you order online?

The Apotex's are known for their 'shorter' duration. Though they are just as effective as any other brand. They are almost preferred if you have to dose later in the day and don't want to interfere with sleep, or just would prefer a 'not as long acting' Ultram. They are good for about 6 hours of relief, and have an apparent 'low' at about this mark.

The only brand I used was teva 50 mg HCL. It knocked me for a loop my first time but I could not sleep for the life of me and kept waking up every hour on the hour. Next time I will try a considerably lower dose. That being said they were quite useful and enjoyable.

Mine came from online.

Hmmm, I havent gotten anything other than the AN trams online in atleast 6 months. I use different OPs too. I used to always get either the 377 kind or the cor kind. I just got a shipment today and they are the AN's again. I dont mind though, they all seem to do the job, I guess that is what matters!

Can Tramadol be taken along with hydrocodone?

Yes it can. I've been prescribed both at once.

Thank You Oxy80 i have the tram 100er and have only taken tram about 3 times before.

For what it is worth, the last three times I've ordered from Friendly Clinic I've gotten the APO brand. Really like these as they seem to be more effective for me and cause less stomach problems.

for some things like early onset of migraine it is pretty effective
But I find it most useful as an SRI, although it is not prescribed yet for that purpose.
traditional ones like prozac take weeks to begin working whereas tram is almost immediate. and it is much weaker making you less dependant on it. although you will be dependant if you take it every day.
it has made a positive differance in my life

P.S.
and on the painkiller side:
tolerance doesn't build fast if used wisely and doesn't cause stomach probs if not taken on empty stomach

I recently had a physical and was informed from my blood test thet my liver enzymes were too high.
I've read that some pain releif pills will cause this.

I have been taking Tramadol between 4-6 times a day for over a year, has anyone else reported problems like this?

Very definitely, Ive also been prescribed both, and been told by my doctor that they can be taken together with no probs at all. I have taken them together many times in the last year due to a bone disease and have never had a prob..

Hope that helps..

Were you in the US at the time, daddyd?

No, I was in SA at the time, was there for about two months. Why, do you think this was bad advice? As you know I really respect your feedback, I havnt had any problems though.

No I just assumed you were not in the UK, as we don't have hydrocodone.

How come they don't have it there? There must be an interesting story.

I don't honestly know. The analgesic ladder orally starts with paracetamol and NSAIDs; narcotics are introduced by means of codeine, dihydrocodeine, Tramadol and morphine. Since hydrocodone is about as strong as morphine mg/mg orally, there probably isn't much need. But it might replace the rather differing effects that oral morphine has on different patients if hydrocodone were used instead, as it seems to be more reliable by mouth.

Hello everyone, I apologize if Im not posting in the correct place.

I just wanted to ask if anyone experiences hot flashes and sweats while taking trams, I have been using Tramadol for about a year now sometimes with my hydro and it helps me a lot but I sometimes get these hot flashes and was wondering if anyone has experienced the same..

Thanks...

Yeah, like I said, I was in SA at the time, they are quite relaxed on meds there.

After I had my op a few months ago they where giving me oral morph every two hours (I had never had it before then) and 100mgs of Tramadol and 2 30/500mg co-codomols every six hours, I have got to say that the oral morph for me was a saving grace in terms of pain killing. If it hadnt been for my anaesthetist prescibing me the oral morph every two hours I would have pulled my hair out with pain!!! Worked very well for me, Im not sure of the dosage, I think it was 5ml's? would this sound about right? anyway it did the job for me.

In terms of sweats and hot flushes, I found when I was at the height of my pain and trying to get through work I was taking up to 300mgs of Tram's at a time and it was leaving me with sweats and feeling quite light headed, but that was obviously a dosage problem and I would never have done it if it werent for the shear scale of my pain and having to work!! Are you sure you are taking the right dosage Crazy Cherry?

oh my goodness yes! I get those from time to time. They are very uncomfortable. Especially during hot weather and long car rides. I don't know what's up with the car thing. Twice I started freaking out in the car; got way overheated, started sweating and had to turn the air-conditioner all the way up to full blast and cool down. Felt dizzy and disorientated. Once I got out the car, I was fine. This is why I hated trams the first time I took them, as it happened to me a lot then and I am very hot-natured anyway. And, this only happens while I'm taking Tramadol.

Took me a while to figure out it was the Tramadol. I kept complaining about how hot they were keeping the house, with sweat running off my brow. It was only 66 degrees F.

These Apotex seem to be garbage to me. I find they are VERY weak. The COR 127's are the best IMO. The TL 50's and the AN (AmNeil) are ok too,but these APO's are JUNK IMHO. Also....to those who asked about taking Hydro and Trams together......It should NOT be done. They will cancel each other out and that is pretty much just a waste of meds.

How do they cancel each other out?

I've never had that problem, if anything, they seemed to "help" the effectiveness of each other.

They are both agonists of the mu-opioid receptor, so I cannot see how they would have opposing actions. The other action of Tramadol regarding serotonin is separate.

Can you take ibuprofren and Tramadol together?

Yes. . . absolutely. A friend of mine has it prescribed like that and has done it for 2 years. The only problems with Ultram (Tramadol) that can be bad is if you are seizure prone.
Stimpycat