I have a long term case of pelvic pain (5 years + ) I have been taking Trammadol for the last four months and my quality of life has improved so much but I am starting to need larger doses. I don't want to build up a dependece to the drug and would like to switch to another medication for a period to allow my tollerance of Trammadol to go down again.

Do you take Tramadol in its pure form or in combination with other agents, like in Ultracet.(Tramadol + Paracetamol)

umm there is a very good doctor (i think the best in thailand) in bumrungrad hospital . dont remember her name now, but is a lady, and she is specialist in pain. with that data u should be abble to contac her cuz she is very famous in that hospital. very good tho, i saw her one, i went with my sister with a terminal cancer, n alot of pain... she reduces the pain for a while.