I am 71 and have been on Tramadol for 15 years. I started with 50mg twice daily. I am now on 100mg twice daily and all it does is knock the raw edge off. I’m allergic to other meds so I occasionally get injections to help. I think they need to reconsider the class of drug Tramadol is. I’ve never, ever felt loopy on Tramadol. I’m seeing new docs in Neurology to see what can be done to get better pain control.
I also have Occipital Neuralgia and there is not much that can be done with that except occasionally get occipital nerve blocks. My goal is better quality of life and not having to totally give up everything I love to do! I love to hike but have had to stop the more difficult mountainous trails.