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Dealing with pain is one of the most irritating sensations one can have. Pain not only causes discomfort but it also breaks down a person from within. Sometimes pain can also push you to the doors of depression as many people have reported. Tramadol is a pain medicine that is used to treat moderate to moderately severe pain. Since the pain med is similar to narcotic analgesic, it is effective in treating both chronic and acute pain for example after an operation or a serious injury. Under the brand name of Ultram, the painkiller is sold.


It works by changing the direction of the perceiving pain in the nerves from reaching the brain and communicating the message of pain. The pain medicine Tramadol is available in two variants:

  • Tramadol 50mg
  • Tramadol 100mg.

The exact mechanism of the painkiller is not yet known but according to some doctors and researchers, the action of Tramadol is similar to that of Morphine. Unlike Morphine Tramadol binds to receptors in the brain which are responsible for transmitting the sensation of pain from throughout the body to the brain. This is how it makes the sensation of the pain numb as it stops the sensation from reaching the brain.

Tramadol is considered as a strong painkiller and the pain med comes in the form of capsules, tablets, and liquid drops, and as the medicine is a Schedule IV drug, therefore it is advisable to take the pill under doctor’s supervision.

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Before you take the medicine, consult with your doctor properly. Knowing the level of pain in your body, the doctor will recommend you the form of the pill and the required dosage. Take the medicine by your mouth. Tramadol can be taken with or without food, if you have nausea than take this medication with food, Ask your doctor about other ways to treat your nausea-like lying down for 1 to 2 hours without making a head movement. Here is just a general idea that can help you, while dosing the pill-

  • The maximum dose of the pain med is 400 mg, it should not cross then this, and the dosage is based on the medical condition of a person.
  • To start with, a person can go for dosing 25 mg
  • You can take the medicine with food or even without it
  • The medicine is not recommended for anyone aged below 18 years
  • For people who are aged more than 75 years, should not exceed a dose of 300 mg per day



Like every other medicine, Tramadol comes with certain ill- effects;

Tramadol has a similar composition as of narcotic analgesic so it has a high risk of being abused. The risk may be higher if a person has a history related to addiction or suffering from substance use disorder. Using it for more than 3-4 weeks is not recommended as tramadol is addictive which can make your body to be dependent on it, with every increasing dose of tramadol, our body’s tolerance level also increases. That is why it is not recommended to use this drug for a much longer time. Tell your doctor about any allergies that you may have, as inactive ingredients of Tramadol can react to your allergies. Tell your doctor if you had a brain injury or any other diseases such as sleep apnea, kidney disease, liver disease, obesity. This drug can make you dizzy or drowsy if you use alcohol or marijuana with it. Do not drive or do any work until you are sure you can handle it. Tramadol may cause QT prolongation (heart rhythm), QT prolongation rarely cause any serious problem, but if you experience fainting or dizziness call for emergency support right away.

Some common side- effects of Tramadol are-

  • A headache
  • Vomiting
  • Dry mouth
  • Constipation
  • Sleep disorder
  • Low in energy level

Some of these side-effects will decrease as you take tramadol for a while.

Some serious side-effects of the painkiller are-

  • Seizures, Fainting
  • Trouble in breathing
  • Heart issues or problems
  • Hallucination
  • Confusion
  • Severe abdominal pain
  • Difficulty Urinating

These are some of the adverse effects of the painkiller if you find yourself landing into any of the problems or facing any difficulty, you should immediately consult your doctor. This medicine can also increase the serotonin level in your body, the risk increases if you are taking medicine also. If you have arthritis your doctor may prescribe you long term and short term acting opioid medication, ask your doctor about safely using tramadol with other drugs.

In 1995, Tramadol was approved and it was not considered as an opioid drug, however, Tramadol worked the same and had a similar effect as other opioid drug but it remained uncontrolled substance until late 2014 when FDA designated Tramadol as a controlled substance. Tramadol may be accepted in the medical line for its effectiveness, but the potential of being abused and its addictive properties are the reason for its tight regulation. A doctor can prescribe you Tramadol five times, and after six months the doctor has to change your prescription. For example Heroin is a Schedule I drug, it is highly addictive and have no medical use to it, OxyContin is a Schedule II drug which is also addictive but has a known medical uses, Tramadol is a Schedule IV drug, it has pain-relieving properties and Tramadol is not as addictive as other controlled substances out there.