It is pretty good for moderate pain, but not if it is severe. They just are not strong enough. Keep in mind though, that although this drug is not an opiate, it can be habit forming and the withdrawals can be pretty nasty. My mom took it for her back for a year, as directed. When she moved, she ran out before she could see the new doctor and had really bad withdrawals, diarrhea, nausea, anxiety, cold sweats, basically the works. Just be careful with it, no matter what anyone says
I would like to add that Tramadol should not be taken with medications like MAO inhibitors, opiates or psychotropic drugs, alcohol. It should not be taken by pregnant women or lactating. Side effects are dizziness, headache and nausea.
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