This is apparently not typical, but I have met a few other “bad back people taking opioids” with similar complaints. I have researched that CBD shuts down certain liver enzymes (like CYP2D6 and other CYP450 family enzymes) that allow the liver to process Tramadol and many other meds to the metabolite form that actually relieves pain. So for my particular chemistry CBD was essentially blocking the pain relief from the Tramadol.
Start by taking the recommended dose on the product’s label, which is the minimum dose. Allow one week to see how you respond to it. If you feel that you need to increase your dose, take up to 50% more of what you’ve taken during the first week for another week. Repeat this process until you find your ideal dose. If you’ve been advised to take a specific dose of a strong CBD oil, check the product description to see how many mg of CBD are per drop.
due to device failures looking at a 3rd surgery. Has you can imagine the pain, stress and anxiety levels are off the charts. Especially at an otherwise healthy 54 yr women. So i understand from reading posts its best to take it under the tongue. I am taking 1-2 ml a day. I can tell some difference,is your recommended dosage. I am using for pain , stress and sleep. I appreciate your feedback.