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i was granted Tramadol primarily for fibromyalgia, it assisted tremendously. i am now on lyrica and am backing off the Tramadol with my Dr.s help. I do not like this medication, I have rheumatoid arthritis and fibromyalgia and it doesn't even feel the pain. In supplement to taking this now I have to take certain thing for the stomach difficulties it has granted me. Also critical dry mouth, Yuck. Hope it works for somebody else. It work for agony equitably well but only for a twosome of hours and then i seem a little on for example and shaky. I am utilised to taking hydrocodone for my agony but I habitually get exhausted after taking it. with this med. I have more power and it holds my agony away for 4 hrs longer. i have been taking tramadol 50MG 3 times a day for about a year. i find that it works better when taken along with a advil or asprin. being that tramadol isnt a anti-inflammatory, taking it with one makes it work better. it furthermore appears to work more competently when taken at the 1st signal of agony, if put off like any other agony reliever it doesn't work as well. i have read some reconsiders with HORRIBLE side effects for example withdrawls, i have been fortuitous to not have had such side effects. i suggest taking this pharmaceutical on a full stomach, else nasuea may occur.