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Suggest Remedy For Chronic Pain Despite Taking Tramadol
Question: I take Tramadol 400mg a day for pain. Is there a pain medication more appropriate for chronic pain, which does not have the Opiod type of side effects. (Tylenol works, but Doctor says it will do more damage than Tramadol in the long term). The pain is lower abdominal pain, which I have suffered from on and off for 20 years and have been investigated to death, but with no definite results, except that it may be psychosomatic?
Brief Answer:
Suggestions follow
Detailed Answer:
Hello,
Welcome and thanks for your query.
If you are diagnosed to have psychosomatic pain and you agree with the diagnosis, then a small dose of tricyclic antidepressant like amitryptiline would help reduce the pain. If Gabapentin was helpful, it may be used in a small dose like 300mg twice a day. Tramadol produces addiction and you may find it difficult to come off it. Try to reduce the dose gradually and stop. Tylenol in doses upto 3 grams per day is safe if you don't have any liver or kidney problem.
Do get back if you have further questions.
Take care
Suggestions follow
Detailed Answer:
Hello,
Welcome and thanks for your query.
If you are diagnosed to have psychosomatic pain and you agree with the diagnosis, then a small dose of tricyclic antidepressant like amitryptiline would help reduce the pain. If Gabapentin was helpful, it may be used in a small dose like 300mg twice a day. Tramadol produces addiction and you may find it difficult to come off it. Try to reduce the dose gradually and stop. Tylenol in doses upto 3 grams per day is safe if you don't have any liver or kidney problem.
Do get back if you have further questions.
Take care
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Many Thanks Dr. Noble XXXXXXX I will follow up with my doctor. This is a new avenue I am interested in trying. I appreciate your advice. XXXX
Brief Answer:
Welcome
Detailed Answer:
It was a pleasure interacting with you.
Have a great day and good health.
Welcome
Detailed Answer:
It was a pleasure interacting with you.
Have a great day and good health.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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