I am sorry that you are in great pain despite being treated with tramadol.
Tramadol is used to relieve moderate to moderately severe pain. It is in the class of opiate agonists and works similarly to how morphine and codeine change the body feels the pain. It is important to take it as directed because overdose can cause acute liver failure.
From the posted information, I derived that your pain is probably from kidney stones. Passing kidney stones can be extremely painful. It is important to hydrate as much as possible to help flush them out. Once the stones pass through, the pain will resolve and there are usually no permanent damages.
Acetaminophen (Tylenol) and NSAIDs (non-steroidal anti-inflammatory drugs), such as ibuprofen (Advil, Motrin) and naproxen (Aleve) are used to relieve mild to moderate pain. However, due to your liver condition secondary to hepatitis C infection, it is challenging to find the appropriate medication to relieve your pain without further compromising your kidneys and liver.
I apologize that I am not able to give you a list of recommended pain medications as requested. I am limited because I do not have your full medical history and medication list. For example, I do not know if you are taking gabapentin (Neurontin) for seizure or for neuropathic pain. If you have seizure disorder, then tramadol is NOT recommended to treat your pain. Also, please note that there is a major drug interaction between tramadol and cyclobenzaprine (Flexeril). Taken together can further increase the risk for seizures.
Below is an article by Mayo Clinic Proceedings May 2010. It may help you and your physician make better choices in pain management. Please access it through http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2861975/
Hepatitis C is a serious liver disease that is contagious and can progress to chronic infection. It is spread by coming in contact with contaminated blood, such as needle sharing or blood transfusion. Currently, there is no vaccine for Hepatitis C, but patients should be immunized with hepatitis A and B vaccines.
Antiviral treatment for hepatitis C is not always necessary. However, it is important to have regular follow-up with your providers, especially if the infection progresses to chronic infection.
For more information on tramadol, Hepatitis C, and kidney stones please go to:
1. Medline Plus - Tramadol
2. Hepatitis C Information for the Public: CDC or Center for Disease Control and Prevention
3. Kidney Stones
a. National Kidney and Urologic Diseases Information Clearinghouse NIDDK
b. New York Times - These Stones Pack a Punch to the Kidneys
Please also go to MedHelp’s Hepatitis C Community for additional information and support. Good luck!