I’m a big fan of tramado (Ultram)l. I actually respond very well to acetaminophen, but occasionally, I need something a little bit stronger, and I always ask for tramadol. If I take narcotics for more than three days, I start to get migraines, and on top on that, they make me constipated.
I have had tramadol for a number of things. I asked for it instead of narcotics after my c-section as my take-home drug. The doctor insisted on giving me two days of Percoset as well, but I did fine on the tramadol. I did take a 1/2 dose of Percoset to help me sleep the first chance I got to hand the baby off to DH and sleep for 4 hours. I also had tramadol for an ear infection once, I have had it a few times after dental procedures, and I had it after getting steroid injection for carpal tunnel syndrome (VERY painful for about 24 hours). I’ve had it a few other times as well. The longest I ever took it was about 4 weeks, when I was taking it along with a prescription NSAID for really bad whiplash (something I will NEVER make fun of again-- unbelievably painful).
My son we know is allergic to morphine, and we’ve never tried most other narcotics on him. He can take low doses of codeine, but he’s never had anything else. I don’t like having narcotics in the house, in case he should take something accidentally. Yes, I know tramadol is technically in the narcotics family, but both my doctor and my son’s say that tramadol rarely provokes an allergic reaction, even in people with known allergies to narcotics.
My son didn’t go into anaphylaxis when he got morphine after breaking his arm-- he got a raised rash around the injection site, then he started vomiting, about 1/2 hour after the injection, and vomited on himself, and here’s the weird thing-- all over his thigh where he’d vomited on himself, he got the same rash.
They started an IV for fluids, he was vomiting so much, and gave him steroids, an an antihistamine, and compazine through the IV. They gave him a benzodiazapine, too, because he was freaking out, and also because they were at that point afraid to give him anything besides Tylenol and ice packs for the pain. He fell asleep.
Anyway, after the rash was totally gone, they tested my son on a small dose of tramadol, then codeine, and he came home with both. We were supposed to give just tramadol as much as possible, and use the codeine only if the tramadol was not enough. The first day after, he got a couple of doses of codeine, and the second day, he got a dose at bedtime, but after that, it was just tramadol. He was on that for a week.
His fracture was displaced, so they had needed to pin it. They did it with imaging, so they didn’t need to make an incision, just drilled a hole, but it probably still was extra pain on top of the fracture. However, he handled it, and he was only 11.