Eric, thanks for finding that piece. ___ I didn't find it. My physician friend did. And here--following Robert Paul's lead--I should note that this was simply a friend relaying information, not someone offering medical advice. Under no circumstances should that information be construed as medical advice or be used as a substitute for treatment by one's primary care physician. And all the rest of the legal boilerplate onto the ends of the earth. Eric PS: Trammadol is indicated only for moderate pain, so it's not surprising it isn't helping Julie's mom. In the opinion of my friend, she needs better pain management, which is highly individualized ... oops, did it again! So here I should note that this was simply a friend relaying information, not someone offering medical advice. Under no circumstances should that information be construed as medical advice or be used as a substitute for treatment by one's primary care physician. And all the rest of the legal boilerplate onto the ends of the earth. ------------------------------------------------------------------ To change your Lit-Ideas settings (subscribe/unsub, vacation on/off, digest on/off), visit www.andreas.com/faq-lit-ideas.html