I am a chronic pain patient with osteoporosis of the spine, lupus, myasthenia gravis, fibromyalgia, DM2 and degenerative disc disease at several levels. Last year I fell and ended up with three lumbar fractures. A failed kyphoplasty made my chronic pain worse. I’m currently on Tramadol and Tizanidine daily. With the current controversy about Tramadol what else is being prescribed?