"after having maxed out on the highest dose of tramadol (ultram) my doctor offered me this. it is good for my spinal arthritis pain. i am doing more daily tasks than in a long time. but in 1 week now i sometimes have to fight grogginess most of the day and would only consider driving if i absolutly had to, half a tablet makes me feels stoned and i take the smallest dose. i did take this after my gallbladder surgery and it was very good."