chronic pain
"I use ultram/Tramadol 50 mg for breakthrough pain usually. Normally in that capacity they work okay. Prefer them to having to use a second opioid that makes me drowsy or more constipated. Right now it has become my only pain med, and taking max dose of 150/8 hrs is a joke. If you have real pain long term I find a common opinion among chronic pain sufferers that this is true."