Tramadol is in real an old medication that still working very well for relief moderate pain. Some persons take Tramadol by years for example to calm hard back pain. That persons are feeling very bad the day that forgot take the pill and just they don’t have for that day. You need visit the doctor and ask how much time you can take tramadol because you cant take by years. if you buy tramadol every year is because you are getting the medicine without a prescription.
Because Ultram or the generic version finally is addictive, you need visit the doctor and maybe he will do a prescription for another similar medication to rotate. if the cause of the pain can be fixed, then you by sure need to take different pills over the time and not always the same. For example, buy this medicine and few months later purchase another and you will feel better.
I have a friend that got a back surgery and he take few time tramadol and few time Codeine. Also he take few times, very less, Vicodine. In that way he never get addicted. My doctor told me to purchase tramadol by 90 pills and take one by day only if i have severe pain. Some days i am better and i am fine with just Diclofenac potassium.