pain
"I have a badly herniated L5-S1 disc. While Vicodin is a very effective and safe medicine, there is just too much stigma and psychological dependence. I've been looking for a medication that's as good and found it. I really think Ultracet/Tramadol delivers as good of analgesia as Vicodin but without the stigma and abuse potential.  I started on Ultram ER 200 and had some side effects, namely bad headaches, drowsiness, and "crashing" in the evening.  My doctor switched me to the Ultracet 37.5/325 and it's great.  The acetaminophen eliminates the headaches and the drowsiness and crashing are eliminated because I can take my 3rd or 4th dose around 6pm and it carries me to bedtime. I also take Gabapentin 300mg at bedtime."