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I take 4 Tramadol tablets per day for my arthritis pain. I want to know if there is another medication that would be more effective and less harmful to the liver and stomach. I also take Celebrex 1 per day during severe flare-ups occasionally.

It would be beneficial to explore alternatives to Tramadol for your arthritis pain, as it can cause stomach discomfort. Opioids are not the preferred treatment for arthritis, and exercise has been shown to be more effective than medications in managing arthritis pain. I recommend speaking with a healthcare professional to find a physical therapist who can help you determine the best exercises to reduce your pain.