"two months ago i suffered sudden severe pain in my right ear, i started first with acetaminophen 500mg but the pain still moderate to severe, after 2 hours of first dose of acetaminophen i took another pill 500mg too but pain not relieved. it was night i asked roommate if have painkiller  other than acetaminophen he gave me voltaren dispersible i got a slight pain relieve. next day in the morning i went to hospital with very severe pain; er gave an injection of diclofenac and prescribed to me zaldiar tablets which is  tramadol combined with acetaminophen . with the ear drops and antibiotics ent doctor prescribed to me lateri i used zaldiar for 5 days as the pain continued severely for 3 days it was very effective pain killer."