Hi. My doctor gives me tramadol 50 mg for horrible pain in my lower abdomen related to my periods. He has me taking 2 three times a day, so 6 a day but latley 2 at a time is not working! I dont know if the pain is getting worse or if I am becoming immune ? to them? I dont know what to do. Should I tell him and see if he will up the amount I take? I hear all these horrible stories about people abusing drugs so I dont want him to think I just want more and stop prescribing them to me because some days they are the only thing that gets me out of bed because I hurt SO bad!