I am in pain 95% of the time. My family dr has been giving me tylenol#3 for about 2 yrs now. They take the edge off my pain. Never totally. He now wants to give me tramadol instead. I can take t#3 once a day or 4 x a day. No withdrawal ever. I'm reading tramadol has some serious withdrawal. He basically cut me off from the tylenol.