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Acetaminophen (Tylenol, others) may reduce the pain and stiffness caused by fibromyalgia. However, its effectiveness varies with individuals. Tramadol (Ultram) is a pain reliever medicine that may be taken with or without acetaminophen. Doctors often recommend nonsteroidal anti-inflammatory drugs (NSAIDs) -- such as aspirin, ibuprofen (Advil, Motrin, others) or naproxen sodium (Anaprox, Aleve) -- in combination with other medications, but NSAIDs haven't proven to be useful in control the pain in fibromyalgia when taken by themselves...

Ultram is a narcotic-like pain reliever.

Ultram is used to treat moderate to severe pain. Ultram extended-release is used to treat moderate to severe chronic pain when treatment is needed around the clock...