"i&#039;ve been taking tramadol acetaminophen for over 5 years. most people will need to start slowly on this drug, like a quarter dose, then slowly build up to as much as needed, but obviously not exceed their prescription dosage. i have bilateral joint disorder, inflammatory disorder, arthritis, and fibromyalgia. this drug has been a life saver. i can actually function almost normal. it has not caused me to become addicted or require more than what i need to take. i do have an occasional dizzy spell if i bend over and rise up again too quickly, but then i am 64 so it may not have anything to do with the drug. i have never taken prescription drugs before because of the horrible side effects, but this is one i can highly recommend."