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Pain the same but I've been given a months worth of Oxy so and the doctor is happy she's seen me - as am I to see and speak with her. Originally she wanted to take me off the Oxy and put me on slow release tramadol. I explained that I'm already taking 400 - 600mg of tramadol (explaining the fact I'm taking more than the max statd dose) so 200mg slow release isn't going to work. She isn't too concerned that I'm O/D on tramadol but would rather me stick to one opiate because otherwise it could be awkward for them and me in the long run. My Oxy has been up to 60mg a day and I'm to use tramadol if required. All in all it's a good outcome from todays visit.