I have been taking Tramadol 50mg 1-2 per day alone for the last 10 years. Before that I was also getting shots of Demerol & Phenergan 3x a month which really helped my migraines. The Tramadol alone does not help a whole lot. I know of people who were getting 360 tab of Oxy a month and yet I get 30 Tramadol and suffer. I don't understand how the system works. And I used to work in the system.