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    Suggest the ideal dosage for Ultram taken for painful vaginal spasms

Posted on Wed, 1 Jun 2016 in Pregnancy
Question: I am using Tylenol up to 4000mg per day, plus Ultracet 1 or 2 every 4 to 6 hours as needed for vaginal pain spasms. The dosage depends on the severity of the particular pain spasm, although because I have been on this medication and the tylenol for over three years now, both drugs are less effective this year in the smaller doses.
I would like to know if should consider trying Ultram for the more sever pain and continue with the 1000mg Tylenol for less severe spasms.

If so, what would the appropriate dosage be for the Ultram?

I have already discussed this issue with my primary care physician, several OPGYNs, a Urologist and most recently a Pain Specialist. We have ruled out numerous other medications and this one works well, but I am concerned that I am taking too much tylenol on the worst of days. (Very unpredictable frequency of spasms over the course of any given month, but daily occurrences at best under four, at worst over ten episodes.
I do understand there may be other injections available through the spine, but would prefer to stay with a medication that I can manage myself at home, if at all possible.

I would like to know what a doctor who specializes in treating pain in the vaginal pelvic area would recommend about dosage for this particular medication.

Thank you,
Answered by Dr. Rakhi Tayal 5 hours later
Brief Answer:
You can take Ultram.

Detailed Answer:
Thanks for trusting us with your health concern.
For the painful vaginal spasms using ultram is a better option. You are already taking too much of Tylenol. You can take 100 mg Ultram for acute episodes. You can also get an oral muscle relaxant prescribed for this purpose.
This can be due to a nerve related cause. Taking methylcobalamin supplements and electrolyte rich fluids can help in reducing the frequency of spasms.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal

Above answer was peer-reviewed by : Dr. Raju A.T
Follow up: Dr. Rakhi Tayal 42 minutes later
Thank you for your prompt and comprehensive reply.I will try the Ultram at 100 mg per acute spasms, up to four times per 24 hour day.

I am trying an oral muscle relaxant for more moderate discomfort, but it puts me to sleep almost immediately, so only good at night.

Thanks again.
Answered by Dr. Rakhi Tayal 10 minutes later
Brief Answer:
You are welcome.

Detailed Answer:
Thanks for writing again.
Some oral muscle relaxants do cause sedation. You can choose a muscle relaxant with lesser sedation like thiocolchicoside or tizanidine after consulting your physician for better relief during the day.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Above answer was peer-reviewed by : Dr. Raju A.T
Answered by
Dr. Rakhi Tayal


Practicing since :2001

Answered : 13800 Questions


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