Hello, I am a retired EMT-111, In hawaii we are called Mobile Intensive Care Technicians, MICT and are trained
extensivley to Run and Dx EKG's. I went out on disability, after two Helicopter related rescue accident's. I have
had 2 back surgeries, One failed fusion. My question, I take tramadol 4 50mg short acting in 24 hr. period. My
cardiologist insist I have to stay away from Ibu 800 and Naprosyn/Tylenol due to my heart. The tramadol works
best if I take two in AM with breakfast, work doing landscaping light. Then two with dinner and one before going
to bed. How much of the short acting 50mg can I safely take in a 24 hr. period.