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In my attitude, this surgery is an all around good agony reliever. I have had a sprained ankle joint for a while and this dulls the pain. I have had no difficulties taking the surgery or getting off it. i have chronic leg agony and so far tramadol has been the only pharmaceutical (i have endeavoured numerous others) that has initiated the agony to subside. i do not take it every day but i have observed that it's very simple to construct a tolerance. as far as side effects proceed i have skilled bizarre aspirations while taking and headaches when halting for a twosome of days but for me those are better that the zombie-like drowsiness i skilled from pharmaceuticals like flexiril and neurontin. I have not ever been so nauseated from a agony medication in my life. It was awful, and while it did decline my agony, I just swapped one discomfort for another. I will not ever take this again. I've been on percocet, and other meds with no problems. We liked to try certain thing less powerful and I desire it had worked and I could stay on it but, there is no way on soil I can endure this medication. Four hours of critical cramping and nausea are not worth it. I provided it 3 endeavours conceiving this side effect might be provisional but, the fear I sensed endeavouring to take it that last time connected with the nausea, vomiting etc. make this in no way worth taking again. Ever. This pharmaceutical us wonderful. I have hip dysplasia producing in multiple surgeries, hyper wireless joints, fibro, RLS and who understands what else. This is the only pharmaceutical that I discovered that assists it all, doesn't make me gain heaviness (actually declines my appetite) and even assists with my feeling and mind fog. I only take 50 mg. two times a day. Could do more but it makes me itch if I take more. One note: When in the clinic, I was granted Ultram ...... had actually nasty distressed stomach. Pharmacist have said, even though Tramadol is generic to Ultram, they are very distinct and numerous persons answer to Ultram and not Tramadol. I endeavoured everything from Vicodin, Percocets, anti depressant.....you title it. Tramadol is the only thing so far that help me seem really make me seem "normal" and nearly agony free. I was prescribed tramadol for my fibromyalgia agony, and it did wholeheartedly not anything to alleviate the agony, but it did origin a critical annoyance and nausea. I wouldn't suggest it to anyone.