Tramadol is one of the top-ranked pain relievers used to manage moderate to severe pain. In the United States, Tramadol sells using Ultram, as the brand name. Tramadol medication is designed to work by altering the way your central nervous system responds to your pain. In other markets, the drug is also selling using brand name Dromadol and Ralivia.

Like other synthetic pain relievers, Tramadol medication works by transmitting the ultimate sensation of pain from throughout your body to the brain. According to doctors and researchers, patients taking Tramadol pills may abuse the medication or become addicted to the pills. These pills are readily available in the pharmacies in the form of tablets, suspension, and extended-release tablet.

Why Tramadol?

More than 20% of Tramadol’s painkilling effects originate from opioids. The remaining 80% comes from quality ingredients that work to inhibit the overall reuptake of norepinephrine and serotonin; chemicals associated with responsiveness and moods.

According to Dr. Nelson (New York University’s professor), Tramadol tablets contain less opioid concentration as compared to other renowned painkillers such as morphine and oxycodone. What causes Tramadol users to abuse the medication? According to researchers, opioid content in Tramadol drug causes users to abuse the drug.

Tramadol renders consistent and efficient results one hour after being administered in the body. However, the interaction of this medication with other antidepressants can negatively affect people. The interaction of Serotonin and Tramadol’s opioid content is believed to treat psychological components and severe pain.

Background information

Tramadol is a renowned medication that was initially introduced in the market in the early 1970s. The prescription was later verified, licensed, and verified by the Food and Drug Administration (FDA) for the treatment of acute pain in 1995.

In 2014, the Drug Enforcement Administration (DEA) grouped and identified the drug as a Schedule IV drug. Here’s the ultimate short version: The DEA realized that Tramadol medication could easily be abused, misused, and used as a recreational drug by patients.


If you are suffering from chronic or acute pain, Tramadol is the drug to consider. The medication is readily available in both the online pharmacies and over-the-counter outlets in various forms such as the orally disintegrating tablet, pills, extended-release capsule, extended-release tablet, and suspension.

In most cases, capsules are prescribed for patients with moderate or severe pain. At first, doctors and clinicians prescribe a low dosage of Tramadol medication, especially for patients suffering from chronic pain. In other words, before you take any Tramadol medication, consider consulting your doctor.

Tramadol tablets are also prescribed for patients suffering from fibromyalgia conditions and arthritis. The disintegrating tablet (regular tablet) is usually administered with or without food. The National Institutes of Health (NIS) advice patients to take the extended-release capsule once a day to avoid severe complications.

Patients should not take Tramadol medication for an extended period, rather than the one instructed by a doctor. Additionally, if you miss a dose, take it immediately after you remember you missed a dose unless the next prescribed time is a few minutes away. Make sure you take your medication according to the regular schedule given to you by your health expert.

According to NIH, failing to take Tramadol medication using doctors schedule may cause severe withdrawal symptoms such as sweating, runny nose, hallucinations, diarrhea, and nervousness. Once you start recovering from your chronic pain conditions, your doctor might decide to reduce the prescribed doses gradually.

Patients with more than 17 years (adults) are instructed to take 50 to 100 mg dosage strength orally for every 4 to 6 hours. For chronic pain, take the extended-release capsule orally once a day. The initial dosage strength should be 100 mg. Note that 300 mg is the maximum dosage strength that can be administered on one day.

According to FDA, children (younger than 12) should not take any form of Tramadol medication. The administration made it crystal clear that Tramadol is not safe for children. In a recent release established by FDA, Dr. Douglas Throckmorton added that the move was solely meant to secure the safety of kids.

Tramadol interactions and warnings

Taking Tramadol capsules for an extended period increases the risk of convulsions for patients with a history of the metabolic disorder and head injury. Additionally, if you have cirrhosis, kidney disease, liver disease, or stomach disorders, you should not take Tramadol medication unless instructed by a doctor.

Tramadol medication should not be taken in combination with alcohol. If you’ve got a history of alcohol or drug abuse, avoid taking this medication. According to Mayo Clinic recent reports, Tramadol tablets should be used sparingly as they can cause common side effects such as dizziness, constipation, stomach upset, and liver disease.


In the last five years, deaths caused by Tramadol overdose and other synthetic opioids have recorded a percentage increase from 8% to 18%. According to DR. Mooney Larissa (University of California assistant clinical professor and the Managing Director of the Addiction Medicine Clinic, Los Angeles), the increase in deaths caused by synthetic opioids and heroin has been raising a significant concern.

Why do prescribers view Tramadol medication as an effective opioid as compared to stronger opioids such as Morphine? Some patients often ignore Tramadol interaction warnings and dosage instructions. Patients instructed to take Tramadol medication increase the initial dosages with time to achieve the initial highness.

There have been reported incidents of patients crashing the extended-tablets for both injection and inhalation purposes. Apparently, breaking the tablets increases the overall intensity and the effect of Tramadol drug. Additionally, smashing the capsules increases the side effects such as breathing problems, coma, and seizures.

If you’ve ever overdosed, consider consulting your doctor or seek emergency services. Here are the key symptoms used to identify Tramadol overdose effects;

  • Seizures
  • Pale skin/lips
  • Pinpoint pupils in your eye
  • Irregular breathing
  • Trouble breathing
  • Loss of consciousness
  • Decreased awareness


The rate at which patients are abusing and misusing Tramadol drug calls for an alarm. What’s causing the patients to abuse Tramadol? Nowadays, obtaining illegal drugs is becoming much more comfortable as compared to getting opioids. Young men are hence taking advantage of Tramadol to achieve and maintain highness.

Patients who use Tramadol tablets as per the doctors’ instructions are also liable to get addicted. The young men using the drug to have hallucinations or get high can also be highly addicted. Patients who stop suddenly utilizing the medication suffer from adverse withdrawal symptoms.

Side effects

Tramadol drug interacts with other medicines that affect serotonin levels, a scenario that can lead to altered mental status, high body temperature, and rigidity. Seizures, also known as convulsions, is a common effect that has been reported in both humans and animals taking Tramadol medication.

Convulsions affect patients who usually overdoses or misuses the prescribed initial dose. However, the condition can also result when Tramadol interacts with the standard antidepressants.

Common side effects

  • Skin problems such as sweating, itchiness, and developed rash
  • Depression; including discouragement and feelings of sadness
  • General pains and aches in the joints
  • Abdominal problems such as stomach pain, diarrhea, constipation, and nausea

Rare side effects

  • Confusion
  • Evidenced weight changes
  • Swollen joints
  • Severe migraines and headaches
  • Falling down

Rare side effects that require emergency check up

  • Jaundice
  • Indigestion
  • Severe chest pain
  • Convulsions/seizures
  • Loss of consciousness

Tramadol for pets

Tramadol medication is prescribed for both cats and dogs as a pain reliever for chronic conditions. If your valued pet is suffering from arthritis or cancer, Tramadol is the drug to consider. According to Dr. Nelson (Veterinarian based in Valley Stream, New York), Tramadol is prescribed for pets with an advanced pin after surgery.

Tramadol has also used a cough suppressant for your dog or cats. The medication is mostly used in dogs, though it renders useful results when used on cats. Tramadol tablets are also used as an alternative to Non-steroidal anti-inflammatory drugs (NSAIDS). If your pet cannot take NSAIDS, Tramadol is the medication to go for.


Also known as Ultram, Tramadol is an opioid painkiller used for the management of moderate to severe pain. To achieve useful results, always take Tramadol tablets exactly as prescribed by your doctor. Taking Tramadol medication for an extended period or in more substantial amounts causes addiction.