"i try not to use tramadol too often for the pain i experience with my crohn&#039;s and rheumatoid arthritis - only when it is very severe and the strong codeine i already take is not helping - this is down to the negative side effects i experience when taking it. although it helps with the pain and can help with my mood i really don&#039;t like the overall experience. i find it can make me disorientated; slightly nauseous and with a loss of appetite; blur my vision and make me feel weirdly euphoric (very mildly) in a &quot;speedy&quot; way; and while some people report sleeping better i find it has the opposite effect and i suffer insomnia when taking it. the worst thing by far though is the itching!! i always forget how bad it makes me itch!  100mg"