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One of the best medications for pain is often overlooked--Tramadol (Ultram).  This medication is special because it is a weaker opioid, it causes less severe side effects. Plus, tramadol works really well for nerve pain (fibromyalgia, headaches, neuropathy, etc). The medication comes in both short and long acting forms.   In fact, a brand new medication is on the market now that is a good option for those with medication sensitivities. This one is called tapentadol (Nucynta) which also has dual action like tramadol. So, it should work well for nerve pain as well with minimal side effects.   Both of these medications are worth a try for sensitive people who need a different hammer against chronic pain.   Dr. Christina Lasich, MD