Pain
"My hand got trapped between the tennis court and my racquet and shoulder. My clotting factor was 4 times normal due to too much Coumadin (warfarin) and am also on Plavix. The hand immediately puffed up to 3 times normal size. Obviously Aleve is out of the question, especially with an INR of 4.14. In ER they gave me Percocet, which worked fine, but I broke out into a rash and hives.  I was then given Vicodin, but that did absolutely nothing even at 3 x the prescribed dose. It didn&#039;t even make me drowsy, let alone affect the pain.

I was then given Tramadol, 100 mg.  This works! I got at least 6 hours sleep for the first time in a long time and no burning, itching rash.  It also does not make me as drowsy as Percocet."