I've been on Trmadol for over 9 years.
Doc Rx'd 100mg 4x day, but I usually skip the lunchtime dose.
Along with neurontin for 6 yrs, & now Lyrica - it has helped me a lot.
I don't think that I could function without this combination. I know that if I forget my bedtime meds and fall asleep, in the a.m. I feel terrible until I take my a.m. meds and give it about an hour to take effect.
No side effects that I can think of & I use power tools and drive a small truck at work 6 days a week.