"i use tramadol as an alternative to triptans like amerge and imitrex. unfortunately i get 20 - 25 migraines a month. i am scheduled for a meds update with my neurologist and will be giving botox a try. i have been more concerned about the rebound issue than addiction. a one month refill lasts me more than four and on those wonderful days that i don&#039;t have pain, i don&#039;t take it. those periods can run from 3 - 6 days. the tramadol rarely kills 100% of the pain, but i&#039;m usually functional. the amerge and zomig were giving me terrible stomach pain and palpitations. tramadol has been very helpful for me without any issues. however i do make a point of regularly reviewing my usage with my doctor."