For me, tramadol is a great pain reliever - the best thing I’ve ever taken in terms of relieving back/hip pain.
But, yes, I got to the point where I had to weigh up whether it was worth taking it at night. Because it meant I’d be pretty much pain-free (great!) but that I’d feel totally wired and hardly sleep (not great!)
When I first starting taking it at night, I found that it would make me feel quite woozy and would knock me out. Quite quickly though, the window of wooziness shrunk and, if I wasn’t asleep within about 15 mins, I would then get totally wired. My mind would be racing, I’d get really excited about loads of ideas I’d be having (ideas that, the next day, I realised were rubbish!) I felt so wide awake. I also used to get uncomfortably hot and my skin would itch like crazy. So, for the sake of not having back pain, I was awake practically all night, stripped off and clawing at my skin! In the end, I decided it wasn’t worth it!
Thankfully, I had a surgery earlier this year, which has really sorted out the pain. If I needed to take that kind of strong pain killer again, I wouldn’t take tramadol. I’d ask for something codeine-based (though codeine-based drugs often trigger night time hallucinations for me so it’s a bit swings and roundabouts! But better that than being awake all night!)
My partner took tramadol last night for shoulder pain. She was still awake at 5.15am and then wide awake again at 8am. Not good!
Glad that you have another option to use. Hope it works for you!