"tramadol used on top of my fioricet, or midrin. for head ache was somewhat effective. used when the pain of the head ache  has reached a point where i&#039;m on the verge of nausea, and vomiting, once the other baseline abortives have failed. when used with the fioricet/codeine it works quite well, at knocking it out, otherwise just tramadol even at doses of 200mg is only a dent in the pain."