"hi. i was perscribed tramadol following a serious motorcycle accident (max dose 400mg daily). for me, this was/is the only effective pain killer. without it i would have struggled with my recovery. however, please, please, please do not underestimate the difficulties associated with coming off the drug. withdrawal symptoms are horrible. whilst i am still recovering from the accident (18 months ago) i don&#039;t need pain relief anymore. unfortunately, i have found that my most difficult challenge to date is to come off the tramadol. over the last 6 months i have gradually reduced the dose - now down to 100mg daily. i reckon it&#039;s going to take me another 6 months to come of it. "