"i&#039;m allergic to codeine and nsaids rip my stomach apart and cause gi bleeding so this is what i take for pain. tramadol 50 mg two or three/day. i broke my foot recently and was literally screaming in pain. took diclofenac, tylenol, no relief. took 100 mg tramadol and feel much better now. i had to get off prozac to take this but i&#039;m glad i did. prozac made me eat all the time, i put on 20 lbs. tramadol actually suppresses my appetite which is a plus. if you take this longer then a few months make sure to taper off."