"i fell at work on my knees and have had severe pain ever since.  i have been using 50 mg ultram (tramadol) for about 3 months and i can honestly say that i am able to function at work and during my daily life.  i have been on hydrocodone and lortab and both of these medicines make me sleepy and just out of it all day. ultram helps me quite well but after 5-6 hours i am ready to take another one.  dosage is 3 times per day/every 6-8 hours.  my family is happy and so am i.  i would recommend this medicine, it truly works."