Hi I'm new to this site and my cat was also prescribed tramadole. She is 16 with a slightly elevated alt liver value and she is already taking Gabapentin which may be giving her a bit of relief! I live in the New York area so getting the medication compounded was quite simple, and the tramadole and the Gabapentin are benign to the liver but the side effects of the tramadole scare me!!! The Gabapentin seems to have no side effects. I guess I'm looking for advice or support if there is any out there? Thank you all so much.