"i take 5mg twice a week and i would take more but my tolerance goes up quickly.  this medication works great and i would take everyday if i could with out the tolerance increasing but i don&#039;t want to chase the effects by taking more. i want to manage the medication not the medication managing me. i do take tramadol three time a week on the days i don&#039;t take diazepam. i take each according to what i need that day for pain or anxiety what ever is worse.  i will go off everything for a week or two when ever my tolerance gets to high which is about every three or four weeks."