Grilfriend is pharmaceutical rep for Ortho-McNeill
Ultram ER is one of the drugs she pushes. This is what she said:

Originally Posted by
Drugpusher Girlfriend
The symptoms make sense...you can have insomnia and nausea...about 15-20% of people have insomnia and 25% have nausea...symptoms though are usually transient and a lot of times will go away as the body adjusts to the medication. Also, depending on the dose, you can lower your daily amount and see if that alleviates the side effects while still controlling the pain. Max dose per day is 400mg on short acting tramadol. There is also a long acting version, Ultram ER (extended release), which has a 300mg/day max dose. Most people on long acting though take either 100 or 200mg.
She had some questions about dosage & other crap. If you have specific questions I'll forward to her.
I should want to cook him a simple meal, but I shouldn't want to cut into him, to tear the flesh, to wear the flesh, to be born unto new worlds where his flesh becomes my key.
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