Clearly you cannot be opioid naive as that would be a fairly high starting dose in that case. I'm concerned that the Tramadol is the painkiller of choice. With long term therapy it can produce really unpleasant withdrawal symptoms, unfortunately I cannot suggest an alternative but would encourage you to ask your doctor some probing questions; like how long am I going to be taking this for?
For really short term use I have found it to be excellent.
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