Drove 500 miles from home...forgot to renew my ultram. Doctor would not renew without me coming in (have taken it for over two years). After 3 days could not sleep, my arms and legs would jerk uncontrollably, I wanted to cut them off. After six days I went to emergency. They gave me a five day dosage of Ultram. After one day back on...everything was back to normal. Over the phone my doctor told me to take Motrin!!! As soon as I see him (today) and get a prescription,,,I will change doctors.