I'm really struggling with my pain med situation and was hoping someone could offer some advice. I hover somewhere around a 5 on average daily (although it gets as bad as an 8 depending on the day) I am prescribed 50-100mg tramadol 3x/ day for day time pain and then at night I take 10-20mg oxycodone and 350mg soma. The night time regime is pretty good and manages to get me through the night pretty well. My issue is the tramadol. I HATE it. It barely works. If I take a stronger dose I immediately get a migraine and get kinda loopy. I've tried mobic, Celebrex, and lyrica all of which either did nothing or had to be d/c'd because of side effects. I just tried the tramadol er and had to be taken off of it right away because of side effects. I'm so frustrated. Every time I talk to my dr about the tramadol he tells me to start taking the oxycodone during the day but I tell him I can't because then I won't be able to drive to work. Is there really no other med out there that will control my pain and still allow me to work? I'm only working part time as it is because if my back, and my pain is so poorly controlled that I miss more work than i show up to. This is a work comp injury so I'm afraid of bringing up not working anymore to allow me to take a stronger med. is there another med a can suggest? It seems like it's tramadol, oxycodone, or nothing with this guy. Thanks!!