Hi folks,I am on Tram 50mg tabs I take 2 tabs a day.,well my nights havn't been so good have been up since 1.30 now,if I start to take another tab do you think that will be the start of me on a slow increase, how do others get on befor you start adding another tab any reply will be helpfull. Eileenk have you plucked up courage to go back to the doc I hope you have