Completely understand your concerns, and the side effects are annoying. For me Tramadol does not give me that out of it dizzy feeling, but oxycodone that I used after surgery did! I do believe those side effects get less over time. I am glad you have an appointment on Friday with your physician, they will be able to reassure you about accidental overdose etc.. @astaingegerdm I tried gabapentin and I felt like a zombie on that medication, so good to hear that it worked well for you, and you are right about it helping nerve pain. I do believe our pain is multi-faceted, for me Nitro sublingual works well when my pain is severe, however taking it orally as a long acting meditation I had headaches and it was not effective as a preventative med. I do think my pain is both nerves and continued vascular pain. My thinking is that I get vasoconstriction or vasospasms in my graft area and possibly in other arteries with eating. Just a thought. Wish we could figure out the cause!