I am not asking this question to obtain a so called "high" from Tramadol. However, I am in extreme pain in my lower back and leg area and am needing some relief quickly. I was prescribed 15 50mg Ultram (Tramadol) from the Emergency Room last night. I was told by the doctor that I could take 150mg at one time. I was wondering if I put a little bit of Aspirin on top of 100-150mg, if the Tramadol will work significantly better? I was talking to a friend and she said that she took some Aspirin along with the Tramadol and had noticeably better analgesic/pain relieving effects than just the Tramadol alone.