I have pmdd. my dr. is leary about giving me pain medicine. i was taking tylenol (acetaminophen) 3 for the breast pain. how can i talk her into prescribing tramadol?

?: Depends on your sx, length of use and her comfort level with you as well as her prescribing habits. Just ask.

Rather then telling: your how to talk your doctor into prescribing you tramadol - why don't I tell you the things that you can do to proactively help the problem. NSAID’s, SSRI’s, hormone meds, OTC meds containing diuretics, warm bath, heating pad, exercise & acupuncture are excellent for PMS / period. Avoid caffeine, chocolate, alcohol & salt. Get GYN eval to R/O underlying pathology. Consider omega- 3 fatty acids, >

Pain management: Many primary care physicians are leary of prescribing opioids/controlled substances at this time. If there is chronic pain you should be evaluated by a pain managment specialist who will more likely prescribe this if it is needed. However, treating the diagnosis is always paramount.

No tramadol: Tramadol is addicting and affects performance, thinking, mood, etc.. I agree with your doctor. There are many better ways to treat pmdd and manage pain that should be tried first. Diet, exercise, alcohol,& overall health are also important in managing this. If you are under stress, or unhappy most of the time, pmdd symptoms can be worse, too. Addressing all these is important for success.