Let me welcome you to spine health! It’s a well-known fact that such dose of Tramadol per day is pretty likely to cause seizures after some time. From what you wrote you’re daily dosage is around 450 mg and you should be aware of the “failure point” that is 600mg per day. As you see, it may be very risky. Well, I might be wrong but you should also count other factors such as other medicines, influences on liver and kidney, etc. Personally, if you want to know my opinion, I would highly recommend finding some extra features that you could add to the basic dosage of Tramadol, something that both will help you with the pain and reduce the daily Tramadol dosage to the recommended one. Believe me, cutting your daily dose of Tramadol in half and adding for example morphine or something similar would put you in a much better situation. Definitely, I strongly advise to consult the situation with your personal doctor because the danger is really high. As a good warning I can present a situation of a friend of mine who was taking from 600 to 800mg of Tramadol per day (400 prescribed, the 200mg time release tabs) as he overdose the prescribed dose he had a badly seizure while driving his car. Really dangerous. The whole matter is that you can really change a lot before it’s too late. One question; how exactly our post is related with cauda equina? In a case that you ever find some symptoms of CES seek for health care attention right away. Good luck, MCJ
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