"i was prescribed ultram/tramadol for the daily pain i am in due to being crushed from the waist down. i only use it when tylenol or ibuprofen will not work, which is maybe once a week or a handful of times per month. ultram does help take the edge off the pain most of the time, but on occasion, just doesn&#039;t help. i need to be sure i have food in my stomach before taking it or it will make me pretty nauseous. it also keeps me up at night if i take it late in the day. i haven&#039;t had any issues concerning withdrawal from it, but it may be because i do not use it on a daily basis, but only when needed."