I think there has been enough research on tramadol
HCL (without APAP) to suggest that everyone reacts differently to the drug. Personally, tramadol
50mg tabs (not Ultracet which is a tramadol
APAP) was my solution, or should I say, salvation to liver compromising APAP alternatives that were total agonists. Some people taking tramadol
HCL claim to have horrible withdrawl symptoms worse than total agonists. I find that hard to believe, since partial agonists have less potential for addiction.