ibromyalgia
"I take three tramadol per day:  1 with brunch at 8am; 1 with a snack at 2pm; 1with a light snack at 8pm.  This schedule keeps me pretty much pain-free all day.  Cons to using this medicine: I am hypoglycemic, so I can't take Tylenol for any type of pain.  Also, tramadol doesn't help with any kind of headache, so to treat headaches, I use Advil. If I use Tylenol with tramadol, I have a hypo attack with much sweating and dizziness.  But I like this medicine, because it keeps my fibromyalgia pain manageable and I suffer no additional side effects."