A member asked:

Can the pain reducing effects of tramadol lessen over time? what other medication could help control cervical spondylosis pain? tried neurontin (gabapentin)...

A doctor has provided 1 answer
Dr. Andrew Germanovich answered

Specializes in Pain Management

Tramadol is a good: Drug because it works through many mechanisms. The next step up from that is Nucynta (tapentadol) which is available when tramadol no longer helps. You can ask your doctor about other non-opiod medications to be used in conjunction with the opiods for optimal pain relief.

Answered 4/23/2015

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