My doc prescribed me tram 100mg er for my cronic back pain, I have arthritis in my back. He tried codine first and it did nothing at all...then tram...not a great idea I had already been taking my fathers 50mg pills and loved them asap. My sister hates when I'm on them my eyes get really wide, I get very thirsty, for some reason I feel like cleaning all of the time, I'm a smoker so I start to chain smoke and it feels lovely, I get the best sleep ever, no pain, I'm ten times nicer because I'm pain free and actually happy but I do get the itches but only at night but as soon as I stop thinking about scratching myself I fall asleep, and I don't know why but my voice is completely void of emotion...I friggin love these pills! Only thing is obviously I'm now addicted...no one wants to be addicted to anything...and since I'm addicted my tolerance has gone up so I run out quicker and the wd is absolute Hell I wouldn't wish on my worst enemy! Ppl say taper down but that's hard to do on 100 mg...any other advice?