@bdwmc
Tramadol, I think is a glorified aspirin.
I was actually surprised when my ex doctor ordered fentanyl, but I was taking so many other types of opioids that I guess she thought it would be better. in addition to the fentanyl light also took Norco 10 mg which wasn't really much better than the tramadol. Never mind I never asked for it. She just ordered it and said that I had some sort of pain syndrome. Great stuff although it didn't get rid of my back pain, but I know a nurse and she takes it for back pain and it totally gets rid of her pain.
Good luck but getting fentanyl is probably going to be a losing battle these days.
Take care,
Jake