“I use para mal as relief from general arthritis but also suffer from degenerative arthritis of the spine. Tramadol makes me feel very sick and doesn't really offer any lasting relief, and other arthritis drugs are not good for kidneys. Paramol works well. My doctor approves, his advice is not to take more than 4 in any one day, and I never do. I find them so effective at reducing pain, that the effects can be long lasting and I can reduce intake to just 2 or 3 days a week.”