welcome to Healthcare Magic.
and Tramadole, both are opioid
compounds. Long term use lead to tolerance, so that patient need higher doses to produce similar effects.
These medicine also have addiction potential on regular use. Due to that physicians use them in minimum doses for short duration.
It is important to get definitive treatment for neck fracture
, so that pain can be minimized with least possible doses of opioid medicine.
Wish you all the best.
Dr Ashish Kumar Mittal