Acetaminophen / tramadol
"This medication did not help me with my pain,  peroid. I took up to 400mg at once and still no relief but it did make me feel nauseated and gave me a headache. It's synthetic and really more like a weak antidepressant. I was prescribed it to alternate with my Hydrocodone 10mg tabs. I stopped my Norco for a 2 week period to give Tramadol a chance but it never worked. This stuff is rubish! No it's not equal to Codeine. I have taken Codeine and Tramadol is entirely different in effect. Sorry I'll stick to true Morphine based pain meds like Codeine, Hydrocodone, Oxycodone, etc. Even synthetic Darvocet worked better than this stuff!"