I have taken tramadol for about a year. It actually called tramacet as it’s a combo of 5mg tramadol with 300mg acetaminophen. I take it for nerve pain in my L4/5 and also cervical nerve pain. I try to use it only at night but sometimes I have to take it during the day. For the burning nerve pain it works quite well but I’ve been using it more lately and became concerned so my Doctor and I are trying Pregabalin for the nerve pain instead. Starting very slowly at 25mg twice a day and seeing how that works. I still had lots of pain to deal with daily with tramadol unless I took it, hoping the pregabalin quells the pain and I feel more pain free again.