... pain. I have been on this for the past 7 years. Recently I was prescribed Tramadol HCL 50mg 1 tab q6h for break through pain, which I have a lot of expecially during the colder months. My problem is that neither of these medications are working and the pain is getting worse as if I have not taken anything at all. Is there something stronger I could ask my doctor about? If so, what is it? Believe me I am constantly in pain.