A member asked:

Would there be an advantage of using tramadol over butalbital with codeine for upper back muscle spasm pain and headaches? would it be safer?

2 doctors weighed in across 2 answers

Pain meds: all drugs have safety profile and side effects, and Doctor use which drug that will help the patient with least side effects .check with your doctor

Answered 12/26/2014

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Dr. Tarik Hadid answered

Specializes in Internal Medicine - Hematology & Oncology

It may help: Yes, it may help. The way tramadol works is different than than other two. Therefore, it may target pain through a different receptor. I would also consider adding a muscle relaxant such as baclofen

Answered 1/2/2015

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