ibromyalgia
"Ultram was helpful for my muscle pain associated with the fibromyalgia. It did not make me feel 'dopey' or 'high' or more tired, etc. However, I would have to eat a substantial meal before taking it and then eat an apple or something after I took it or I feel on the verge on vomiting. 
It made me so nauseated if my stomach was not completely full."