** Originally posted by silbar **
I saw my Rheumy the other day for intense joint pain. I have been taking percocet when needed but can not take this when I am at work. He suggested trying Ultram ER (extended release). He gave me samples of the 100mg and 200mg ER but wrote the script for "300mg because I think you'll need 300mg ". I felt alittle too restless on the 200mg and am going to ask him to change the script to 100mg as I think 300mg will be way too much (and you can't split the pills).
My understanding of extended release meds is that they slowly release the drug a little at a time over a 24 hour period but the insert info shows a graph of the Ultram ER peaking at the 12 hour mark. I am trying to figure out the best time of day to take this medication where I won't feel too restless but I can still take 5mg Ambien at bedtime for sleep.
If you take Ultram ER, how does it make you feel? What time of day is best for you? Do you feel a higher concentration/effect after 12 hours? Can you take 2 of the 100mg ER and get the same effect as a 200mg ER or will they release too much at the same time?
Any info will be greatly appreciated.