"completely useless. i was given 5mg oxycodone and 50mg tramadol after a total hip replacement. the oxycodone was 1-3 tablets every 4 to 6 hours as needed and the tramadol was 1 tablet every 8 hours. after a month, i decided to wean off the oxycodone and reduced it to 1 tablet a day (in the morning). i figured i could rely on the tramadol to pick up the slack. i was wrong. the tramadol does absolutely nothing for pain. i tried doubling the dose. nothing. i tried tripling the dose. nothing.  i&#039;m not going to take 4. if my surgeon won&#039;t refill the oxycodone, i&#039;ll switch to ibuprofen and tough it out, but i&#039;ll never take tramadol again."