For chronic pain is it better to use tramadol or Tylenol #4?

I have super chronic pain and I take tramadol.Tylenol does not make a dent.I would go with the tramadol if you’ve been in accidents,developed debilitating arthritis and fibromyalgia.

Another thing to consider when taking codeine is upset stomach. I've taken both drugs before. Was never to the point of taking them everyday though. Never went through withdrawal from either but some people think Tramadol is worse. Both should be used sparingly. I have fibro and there are other drugs available with fewer side effects. Just my opinion.
Ruth

I agree that Tylenol is hard on the liver & should not be used long-term. That's from the doctor who used to treat me for CFS. She advised me to use it only when I had a cold or other viral infection along with ibuprofen.
What I use for fibromyalgia pain is a product called "End Pain," recommended by Dr. Teitelbaum, who has treated fibro for years. He wrote the book "From Fatigued to Fantastic." I also use Traumaplant's Comfrey cream by Terry Naturals, which I rub on sore spots once or twice a day when needed. You can get both on Amazon. Take it from me, Tramadol may make you feel better, but you will become tolerant to it. I also felt dizzy & foggy headed on it. The agony of withdrawal is not worth it!

Tylenol 4 is better. Tramadol is horrible made me feel deathly ill.

In my opinion I would say Tylenol #4. I"ve taken tramadol before for bad pain and it didn't work, but every one is different.

Tylenol is very dangerous for your liver if you take it regularly, I also never recommend codeine for anyone because its efficacy is not proven, it is weak and it has a lot of side effects. Also, Codeine is almost as addictive as tramadol.

I believe you should go with the tramadol because the benefit outweighs the risk especially because codeine is very weak and has just as much side effects and can be as addicting. Whatever you end up getting, take it as prescribed and as needed only.

Depends on many factors like; other drugs you may be taking. Tramadol and anti depressants should not be taken together, and your willingness to take drugs that may later lead to challenging withdrawals if you stop. Tramadol while an effective pain med is very hard to stop once you are dependent, it can only take a few weeks to a month for dependence to start. Tylenol 4 is a more straight forward mild narcotic, easier to withdraw from if you need to. You can always add an anti depressant if needed separately while tramadol is like a pain med and a complex multi receptor anti depressant in one .

I think the tylenol used sparingly is a better choice. Docters are sometimes not up to date with the problems of tramadol use long term. It is a complex drug to be respected. Google tramadol withdrawal before making that choice.

Good luck with your health.