Hi, I have been on tramadol for about 7 yrs. and was up to 400mg per day. Now I max out at 200mg a day. My doctor has given me my last prescription. I tried to get off of it once before and found that taking a strong flu medicine helped. After being up for three days and not even coming close to falling asleep, I know how hard it is to get off that stuff. I will say that this drug is dangerous because it can be so subtle, that is until you stop taking it! My prayers are with you