I've been taking lor. at night for years. It helps my nerve pain and lets me sleep. I've also been taking some tramadol during the day. Now they want me to go to a (i hate them!) pain clinic again to get the tram, and most pain clinics, their thing now is you can't take both. The clinics I've spoken to say they don't all have that rule but nobody sems to know which are the ones that don't. My primary care dr. had been giving me both before my Oct. back operation. Hopefully he still will do so, but I'm not sure as the govmt. keeps putting new pressures on doctors with their War On Victims Of Chronic Pain.