I am currently working on dropping down to just using the 50 mg tabs, but that don't last through the night, so when I wake up in the morning the pain is at its worse. That is why I liked the extended release medication. The only down side to the 50 mg tabs that I have noticed is that the twitching that I have since I started taking ultram is getting worse, with the extended release it was almost non-existant, which was wonderful. I felt better while taking the extended release and I am thinking on going back to doing what worked, but the cost is just outrageous and we have a high deductible, so that was the main reason for me going off of it. I was taking Tylenol 3 and Ultram before they put me on the Methadone, I was able to get off the Tylenol, which was the one they wanted to see me get off, they don't seem to concerned about the Ultram - go figure the expensive one is the safe one!!! I appreciate your comments and I will check with my doc to see if tramadol, which is the generic form of Ultram, comes in extended release, but I don't believe it does.
There's really nothing in Ultram's class that's extended release. You'd have to go up to a much stronger narcotic. Have you looked at generics, or Canadian pharmacy's? Can't you just use 50mg instance release until you find a solution. And not wanting to increase the Methadone is a good thing.