"severe infection of tooth roots over a holiday weekend sent me to er. extreme pain prevented sleeping. er prescribed tramadol, which was completely usless. dentist following monday morning prescribed the acetaminophen/codeine with penicillin,  also ibuprofen for in between pain. so far it&#039;s been good enough to allow me to sleep some. unfortunately because of he idiots on the streets stealing and selling/abusing vicodin and other stronger opiates the dr&#039;s are extremely conservative now when prescribing pain meds."