Tolerence to tramadol is likely to become a problem to regular users. Same is true for Prozac, but tram has that scary risk of seizures at high doses.

When i take codeine during the day, I often find that Tram works well at night as a sleeping pill (codeine sleep is restless and nightmarey for me). Other than that, I don't much like the serotonin effect of T (which I think is primarily what causes the buzz or whatever that some people like). Works okay for certain kinds of back pain sometimes.