I have Fibromyalgia and Cardiomyapothy and ostoarthritis and I take Sotal for my heart. My Rhumitoligist put me on Tramadol HCL 50 MG for pain, but it does not work for me. Is there another pill that is stronger that I can take with the sotal? Another thing I don t like about Tramadol is the long list of side effects. I have a very hard time doing anything without pain. Yesterday, I went out with my husband, daughter and her boyfriend and we went out to eat and just getting up from the chair was painful, then we went to a department store and walked around for about a little over an hour. By the time I got back to the car, I was is such pain and had really bad pain getting in and out of the car and just walking to the car and from the car to the house. I spend most of my time at home because it is just to painful to go anywhere. I even try to do a little housework, but I don t get very far. I am tired of being in pain and if I can get something stronger that would go along with the Sotatol, I would feel better and be able to do things. I am a 62 year old woman and have been like this for the last 3 or 4 years. I was diagnosed with clinical depression years ago. I am tired of going to doctors, having tests and taking so many pills. I know that there are people out there that are a lot worse them myself but I am getting so tired of this. Can you please suggest a pain pill that will work along with the Sotatol at a higher strength so I can live my life.