Started Tramal (tramadol) four months ago for pain and I am trying to work out whether what I am feeling now is tolerance or something else.

Pharmacist, not doctor, is where the useful advice has come from every single time.

My doctor wants to separate tolerance from a genuine change in the underlying problem, which sounds sensible until you try to describe the difference in a ten minute appointment.

My skin, my sleep and my mood all respond to this, and my appointments only ever ask about the third.

The leaflet lists the itchiness as common and then says nothing useful about how long it lasts.

What worked for you, and how long did it take before it worked?