question: I have taken the medication Tramadol for the past 10 years for arthritis and pain from a severe injury from an accident,also 10 years ago-I am 59-female,no diabetes or other serious health problems. My last blood tests show my liver enzymes are elevated-a friend told me that Tramadol can cause this,even in therapeutic doses(I take 2 50mg. tablets every 8 hrs.)Is this true,that Tramadol can damge the liver?