Suzanne: I'm caregiver to my elderly mother who has Alzheimer's and chronic lower back pain. For awhile, the doctors prescribed Tramadol for her pain. I found some worrisome information about Tramadol on the web and, eventually, we stopped giving this to my mother. [She's now getting Vicodin and Fentanyl.] I suggest you search the web generally for Tramadol to find out more information. Good luck! Rob