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Q: I used to be on Vicodin for back pain and my doctor changed it to tramadol. Will it work the same and is it ok to take Flexeril or Ativan, if needed, while on it? A: Vicodin (hydrocodone/acetaminophen) is a narcotic pain reliever used to alleviate moderate to severe pain. Tramadol is a narcotic-like pain reliever that is also used to alleviate moderate to severe pain. Unlike tramadol, Vicodin (hydrocodone/acetaminophen) is a controlled substance. The maximum daily dose for tramadol is 400mg/day so it is important not to exceed 8 tablets daily.
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