"i approached my psychiatrist who told me he&#039;d never heard of this off-label use for tramadol and he would not prescribe.  i went back to my former (beloved) psychiatrist who&#039;d stopped accepting insurance (hence the change).  he was sympathetic, but said he couldn&#039;t prescribe it, risking his license.  he suggested my g.p.  i was sure she&#039;d say no, so i never asked until last friday over the patient portal.  i said i needed it for chronic hip and knee pain (not untruthful) and i was surprised she prescribed.  now i am torn about visiting her and requesting more.  i am afraid she will not give more for the stated reason and really will not give more if i divulge the true reason.  i see my psychiatrist monday and will seek his advice."