"my hand got trapped between the tennis court and my racquet and shoulder. my clotting factor was 4 times normal due to too much coumadin (warfarin) and am also on plavix. the hand immediately puffed up to 3 times normal size. obviously aleve is out of the question, especially with an inr of 4.14. in er they gave me percocet, which worked fine, but i broke out into a rash and hives.  i was then given vicodin, but that did absolutely nothing even at 3 x the prescribed dose. it didn&#039;t even make me drowsy, let alone affect the pain.

i was then given tramadol, 100 mg.  this works! i got at least 6 hours sleep for the first time in a long time and no burning, itching rash.  it also does not make me as drowsy as percocet."