I have been using tramal for my back and im starting to get a tolerence to it. I also took a dose last night before i went to bed so i would wake up without the pain and muscle spasms, well tramal doesnt let me sleep, i just got 2hours sleep with 2 zopiclone and a phenergan which would normally put me out for a good 8 hours. My tramal dosages have slowly been climbing to control pain, im now taking 300mg slow release in the morning and it lasts 12 hours which is enough to get me through work, but it makes me sweat alot, then i dont normally take any at night, but if i have had a busy day the next day im usually quite stiff and not far off the muscle spasms or i just get the spasms. The tramal has been working for me but of late is starting to lose its effects and starting to notice side effects. Anti-inflammatories dont work very well for me and have a history of gut problems with them so only take them for 1-2 days. I am booked in for a facet joint nerve ablation but that could be a few weeks away yet, so im thinking of asking my doc for some oxycontin as its suppose to work over 12 hours, im thinking of using this alternating it with tramal so i dont get addicted to it and to reduce tolerance to both meds, maybe use oxy when on days off and tramal when at work if oxycontin makes me drowsy etc. Im also hoping abit of a break from tramal will help me lose the tolerance to it and it will start working for me again, maybe able to use a lower dose again. Would oxycontin affect me negatively at work and driving etc. any thoughts welcome, cheers!!!