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Reason for using: swelling computer disc in smaller back.Side Effects: Sometimes it makes me seem positioned out and exceedingly relaxed. Completely takes away my appetite.Works the best for my back agony out of all the other meds I have taken (ibuprofin, flexiril, vicodin, soma). Definately has some kind of seratonin effect (less anxiety). Not as powerful when taken on a full stomach. Reason for using: Spinal Fusion L5-S1.Side Effects: Insomnia,Mild Fever,Excessive Sweating,Metallic Taste in Mouth,Hot FlashesI am 5 months mail op of a Lumbar Fusion and would not suggest this medicine. The first 3 weeks I sensed large until I was worrying and had a high temp. nearly 100 for a entire week. Was notified to halt taking not addictive but be very cautious halting this med, do it gradually. It is addictive and has side effects, this med was not worth all the other difficulties it provided me! Reason for using: critical chronic back pain.Side Effects: At first just gentle nausea and Ultram did ease agony (It made it likely for me to do more). Then after the medical practitioner notified me to boost the dose I started having strong disquiet attacks, teeth clenching and teeth grinding at night. I would awaken up every forenoon awfully dejected, as if from a nightmare that I couldn't recall, and I didn't understand why. Then when the unchanging buzzing and buzzing in my ears started I recognized this stuff is actually awful so I halted taking it. Horrific agony ensued, not so much departure symptoms - just critical agony and headaches. I had to proceed back to taking it afresh (I furthermore recognized that by making it likely for me to do more - I'd really been injuring my back). I step-by-step let down the dose over some weeks and now I'm feeling my usual critical agony again. I still seem like I've been consuming a toxic substance. I've slash my dosage from 250mg per day down to 50 mgs per day and can't delay till the day I'm off it completely.This pharmaceutical is presumed to be a agony releiver, but it is actually more like an antidepressant or a stimulant, (and like most antidepressants - makes it likely for a individual in agony to do more, or work harder, when they should be resting). If you have ever had an harmful answer to antidepressants use farthest caution. I would not suggest it for critical pain. Reason for using: Aggresive Pain in Spine.Side Effects: Itchyness (like being gnawed by a dozen mosquitos on diverse components of the body)Good pharmaceutical if you can get past the Itchyness. (takes my mean agony from a 8 to a six) I have taken Ultram for stress headaches and arthritis of the knees. I can state it is somewhat productive, but not certain thing I would desire to count on to be careful of moderate or poorer pain. I take Lortab for agony, but I take a shatter from it occassionally to hold from getting reliant on it, and to give my body a rest from the unchanging acetaminophen intake. During this time I take Ultram 200 mg. for agony, and have discovered it better than not anything, but not a large choice for me. It does appear to combines with my Xanax, making me seem a little more calm, but I haven't observed any opposite side consequences, and absolutely no craving, dependence, or departure symptoms. I am pleased to read that it assists other persons, though.