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I am 19 with a back of a 60 year old. 50mg tablets 3x a day along with an anti-imflammatory and I seem so much better. I will now be adept to focus in school.Yay!! Works large for agony (back pain) and am absolutely persuaded except for the secondary withdrawel symptoms for example all over achiness. 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. My know-how with this pharmaceutical changed. At first I begun to take it for knee and ankle joint agony, which did not do any thing at all. i actually couldnt seem any relief. It was prescribed afresh for sciatic cheek agony and this time it was very different. At first i sensed very dizzy and lightheaded then came the nausea. finaly when taking it as prescribed 2 times a day, all the symptoms for example nausea, lightheadedness, flaw and blured dream appeared to triple, i couldnt function for 3 days. I bear from chronic top back pain.This medication has worked wonders.I will not take any other agony meds...they make be very sick.