Tramadol 3 X A Day With Otc X St Tylenol Vs Tylenol 3

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I wass prescribed tramadol 5 0 mg 4 x a day and taking otc ex st tylenol 300mg in between withjvery little relief (for sevre sciatica pain) dr. switched me to tylenol 3 3 x's a day and i feel i was gettring more relief wth the tramadol. I have hbp, diabetic and ckd, im told tylenol 3 is stronger yet it doesnt seem to be as effective. is either worse for me than the other . i have been on the tramadol for a month and now on the tylenol 3 for about two days how long can yu stay on these

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Hi sugar,

From what I understand, there aren't any set time frames as to how long one can use either or those medications. I've heard of chronic pain patients here on this site having to take tramadol for many years. However it is important to remain aware of tylenol's (acetaminophen) effect on the liver at higher doses, especially if you plan on staying on it for a longer period of time. Your dose of tylenol 300mg, 3x daily, still falls within safe guidelines, but because everyone can react differently it's not a drug I'd personally recommend using any longer than you have to.

Although, it sounds to me like you may not want to be on the tylenol much longer since you mentioned that it's not providing any additional relief. On the other hand, you could also talk to your doctor about using something stronger, with extended release properties. This way you would only have to stick to one medication; just a thought.

Have you also taken any steps to help manage the high blood pressure or diabetes?

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both bp and sugar are under good control on meds i also have ckd
and gout i take allipurinal for the gout

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