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About 80% of patients say their life and health improved after completing drug and alcohol treatment.
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Ketamine is used to treat some forms of addiction and depression.
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Phenibut pills produce similar effects to alcohol, but are very addictive.
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65% of patients relapse within 90 days of addiction treatment.

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Sounds Like: TRAM.uh.dol

Classification: Synthetic Opioid

Controlled Substance Act Schedule: IV

Other names for Tramadol

Tramadol Addiction

What is Tramadol?

Tramadol is a powerful prescription medicine used to treat moderate-to-severe pain. The drug is fully synthetic, with similar properties to other opioid agonists like codeine. That means tramadol sparks a physiological (physical) response when combined with opioid receptors in the body to reduce the amount of pain you might feel.

Tramadol is marketed and sold under the following trade names:

  • Ultram
  • Zytram
  • Ralivia
  • Ultracet

Tramadol Addiction 

Tramadol is a schedule IV drug under the Controlled Substances Act (CSA), meaning it has a low potential for abuse. However, like any substance – especially opioids – tramadol presents the risk of developing tolerance and addiction. Research suggests that surgical patients taking tramadol have a higher risk of prolonged use than people receiving other common opioids.

Repeated use of tramadol can cause people to experience mental cravings to keep using the drug. They might experience physical withdrawal symptoms if they stop taking tramadol, another sign of dependence. As a result, people might continue taking tramadol to ease their withdrawal symptoms, which could expose them to severe opioid withdrawal symptoms, like weakened breathing or a fatal overdose.

Tramadol misuse could lead to addiction, or worse, death. Anyone experiencing mental cravings to use tramadol or physical withdrawal symptoms when they stop taking the drug might need to enter a medical detox program. There, medical professionals can help anyone dealing with opioid use disorder safely taper their bodies off the drug using medication-assisted therapy.

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Intended Use of Tramadol

In 1995, Tramadol became available in the United States as a non-controlled analgesic (pain reliever), under the trade name Ultram. It’s commonly used to treat moderate-to-severe pain in adults, whether the pain is present or prolonged.

How Tramadol Is Taken

Take Tramadol exactly as directed by your doctor or pharmacist. 

Tramadol is normally taken by mouth in pill (tablet) form. Doctors prescribe tramadol as needed for pain relief, which usually starts within one hour of taking the tablets. Tramadol doses differ from patient to patient, depending on the strength of the medicine.

For chronic pain:

For moderate-to-severe pain:

Patients shouldn’t take more than 400 milligrams of tramadol per day. Taking more tramadol than recommended could cause seizures, even at recommended doses.

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Side Effects of

If any of these side effects become severe, immediately call a doctor.

  • Headache
  • Dizziness
  • Drowsiness
  • Feeling weak or tired
  • Dry mouth
  • Constipation (Opioid-induced)
  • Nausea or vomiting
  • Abdominal pain
  • Confusion
  • Skin irritation

Signs of an
Addiction to Tramadol

Uncontrolled cravings for tramadol

Unsuccessful attempts to stop using the drug

Prioritizing use of tramadol over spending time with family or friends

Legal or financial problems

Use of tramadol despite adverse of negative behaviors

Stealing items or money to purchase tramadol

Lying to doctors and therapists to get more tramadol

Flu-like withdrawal symptoms when you stop taking tramadol

Abuse Facts

The U.S. Food and Drug Administration (FDA) added tramadol to its list of controlled substances in 2014

Over 150 people die every day from overdoses related to synthetic opioids like tramadol

Florida had the most synthetic opioid-related deaths in the United States in 2020