Conversation: The conversation between human and AI assistant.
[|Human|] HELLOI HAVE BEEN USEING TRAMADOL  & SR 50MG ONE TABLET A DAY.i HAVE STENOSIS IN MY BACK AND A CHRONIC BACK ACHE IN MY L5 VERTTRAMADOL IS THE ONLY PAIN KILLER WHICH WORKS FOR ME. BUT I GET THIS ITCH IN THE END  OF MY NOSE & DRIVES ME MAD EACH & EVERY TIME I TAKE THE TABLETCOULD YOU RECOMEND A SAME TYPE TABLET - WHICH DOES NOT HAVE HYDROCHLORIDE IN IT AS, I ASSUME IT  IS WHATS CAUSING MY NOSE ITCHREGARDS SB
[|AI|]  Hi, Based on the details, you seem to have chronic backache with spinal stenos is and Tramadol induced allergic reaction (nasal itch). This requires confirmation by clinical examination (local examination of nose by ENT surgeon). It is advisable to stop tramadol, and start analgesic flupiritine male ate. You may also require neuralgic Chat Doctor. You should consult neurologist for further treatment of spinal canal stenosis hope this helps regards