Ah ha! So maybe you can help me with a question as well. I posted in Jack's thread as well as he also mentioned Tramadol. I have some here my surgeon gave me after my CT surgery. For me it didn't play well with the Gabapentin which I no longer take. I'd rather be in pain than suicidal. The B-vitamins are helping as the pain is much less severe than it ever was. I had about 6 weeks of little or no pain. Now I seem to be in a plateau where the pain is back, though nowhere near as bad as previously. The worst part is that this pain only comes on at night and interferes with my sleep. The other night I don't think I slept at all. It was that annoying. At any rate, does Tramadol work immediately? In other words, on a bad night could I take a Tramadol and expect it to give me at least enough relief to get to sleep?