Wow! 40 per day, I couldn't even imagine it! My body was so sensitive to Tramadol, I could only take 4 per day max, or I'd start feeling anxious. This drug is touted as not being addictive or dangerous, but that is A LIE. I believe it may be MUCH MORE addictive for some than a pure opiate (at least it was for me). In the past, if I took a mood altering drug, it would be for no longer than a week. I started taking Tramadol for a sore back (my mother gave me the pills that were prescribed for my father's hip replacement operation), and said the nurse told her they were very good. Before I took them, I did some preliminary research online, and the sites I visited said Tramadol was not too addictive. As soon as I started taking them, I fell in love with the effects. The thing I loved most was the boost in energy I got, and they got me over the after lunch slump. I told my mom they were great and she kept refilling the prescription. After 3 months, I was up to three to four 50 mg tabs (200 mg) per day. I have NEVER been addicted to anything before ('cept maybe caffeine

), but suspected I was getting addicted to tramadol when I ran out of pills one day and went to the dentist. I came home and felt like I was coming down with the flu. A day later, I went to my mom's house and got a refill. As soon as I started taking tramadol again, my symptoms disappeared. I could have quit then, but they made me feel too good. Well, the one side effect I did not like was weight loss, tending to be thin as it was. My wife, said she noticed I was losing weight. When I stepped on the scale, I saw that I had dropped 10 pounds. Tramadol was acting like an appetite suppressant for me. Anyway, my last bottle was about 70 pills, and there were no more refills available from my Dad's prescription, so when I got down to my last 10, I began to taper off. The last 4 days before I quit I took 50 mg (1 tab), 75 mg (1.5 tabs), 75 mg, and 25 mg (.5 tabs). I did have one visiting (also from my father), and took half of it along with the 25 mg of tramadol, then the other half of vicodin by itself the next day. It was cold turkey (kind of) after that. Anyway, congratulations on breaking your addiction; it's good you had a doctor to help.