I tried taking tramadol a year and a half ago and had HORRIBLE side effects, so stopped taking. About a month ago I decided to try it again, and titrated myself up very very slowly. Now i seem to be tolerating it at low doses. I don't notice anything dramatic, but it seems to help after some time has passed (as opposed to soon after I take it,which is interesting to me.) Hang on, my question is coming. The other thing I've noticed is that I am sleeping much better when I have taking it. I do not take it right before bed, but if I take it early evening, I usually sleep through the night. Not a common occurrence for me. Ok, finally to the question: Do you think it is that the tramadol is affecting my sleep,ie I'm drugged out? Or is it that the pain was disrupting my sleep and the tramadol is helping the pain? I am taking a minimal dosage, by the way, and do not take it more than twice in a day. It is always important to me that I am clear on what is and isn't helping, and how or why. Thank you.