Tramadol, Topamax and Ultracet - It's here in the fine print...read it closely... some of it is ALMOST the same but, not quite the same? Knowing how each works, then what works for you, it can help? BUT! ONLY IF USED SPARINGLY!

Ultram: http://www.ortho-mcneil.com/ortho-mc...r.pdf#zoom=100

Tramadol: http://www.ortho-mcneil.com/ortho-mc.../pi/ultram.pdf

Topamax: http://www.topamax.com/topamax/asset...x.pdf#zoom=100

Ultracet: http://www.medilexicon.com/drugs/ultracet.php
Quirky thing about this last is that it includes tylenol which 'seems' to give it an extra kick for less of the real% of drug...

They all have different %'s of similar ingredients? BUT keep in mind all the side effects? READ them and memorize them, and respect that some meds change blood test results... It's all one of those try what works things, [being very careful, of course], and finding out if one works for you better than another. I find, honestly? Sometimes they help? Other times, they do not DO ONE SINGLE THING to help! Each of us is different in soo many ways? How meds affect/effect us is in that corner. IF SHOULD you find something that's not totally narcotic and works? Count your blessings! Keep faith and hope that you WILL manage to get by soon! 's - j