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chronic hip agony and some spasms in that general area. I often could not doze through the evening due to the agony, but with Ultram the agony has subsided. I have skilled no side effects from this medication, except for minor drowsiness, so I take it just before bedtime. I have chronic migraines. I have been in and out of hospital. I have had neck and back surgery in the past 6 months. Dr provided me tramadol to take to help command pain. I am furthermore on topamax to help avert migraines. Tramadol does work for a while but the fatigue is about to conquer my life. I furthermore can't doze when I take it. It furthermore makes me lightweight headed. I considered it was just me but after reading this. I will be conversing to my Dr to be finding certain thing different. I have been on tramadol 100mg 3x every day for more than 2 years to battle agony from a l5-s1 computer disc herniation. after 2 surgeries the agony is tolerable with the tramadol permitting me to work. without the tramadol work would be impossible. i have discovered even after expanded use that tramadol does not have the addictive symptoms of other agony meds for example hydro codone. took this after a vehicle misfortune for headaches discovered out i had a herniated computer disc does not help releave agony at all i address it useless I can take to 50 mg tramadols and last about 4 hours, or i can take 2 lorcet 5 and last perhaps 2 hours if i'm lucky. i have arthritis and have had tension fractures, broken foot/ankle and broken wrist. Tramadol works great.