pain
"I've been taking Tramadol for a few months because of pain in my thumb joints. The recommended dose (50mg 3x per day) was too much for me, resulting in headaches and nausea and (if taken just before bed) sleeplessness. But I reduced the dose to just 1/2 of a 50mg pill taken at 10am and the other half at 4pm and that seems to be working fine. Pain gone and a major boost in my mood. Also, I had to reduce the dose gradually over the course of a couple weeks as I felt a little anxious when I cut the 3x 50mg per day down to just 1/3 of that dosage. I feel much better but am careful not to take too much."