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What is AN 627?

by Demarco Moore

September 11, 2023
a pharmacist holds a tramadol hydrochloride 50 mg pill with AN 627 printed on one side

Have you ever found a pill labeled “AN 627” or “AN627” and wondered what it was? Understanding what’s inside our medication is crucial, whether it’s a loved one’s pills or something prescribed to you.

AN 627 is more than just a number—it’s a code for a prescription painkiller that might be in your home right now. This article dives into everything needed to understand AN 627, including its medical uses, side effects, and the risks associated with counterfeit versions.

What is AN 627?

AN 627, scientifically known as “Tramadol Hydrochloride 50 mg,” is a medicine for managing back and chronic pain. Tramadol is an opioid best known for its narcotic, pain-relieving effects.

How It’s Made and Where It’s Found

Amneal Pharmaceuticals makes AN 627 pills, which you can only get with a doctor’s prescription. AN 627 contains tramadol hydrochloride, a strong medicine for severe pain. Unlike strong pain pills derived from poppy plants, like heroin and morphine, tramadol is synthetically made in a lab using an established pharmacological process.

How Tramadol Works in the Body

AN 627 contains one active ingredient: tramadol hydrochloride 50 mg. Here’s how it works to ease moderate to severe pain:

  • Tramadol: Once you take this pill, it affects your brain and central nervous system. It latches onto pain receptors and makes your body think you’re not in as much pain, blocking those signals from reaching your brain.

Always consult your healthcare provider for proper use and to discuss any concerns.

Connection to Other Medications or Substances

AN 627 shares similarities with other opioid-containing medications, like:

It has the same addictive potential and should be used under medical supervision. Like many opioids, AN 627 can be habit-forming. Therefore, it’s important to follow your doctor’s instructions. Mixing tramadol with alcohol or other opioids can also be life-threatening.

Nicknames and Brand Names

AN 627 has different names that might sound familiar. Recognizing these names can help you or a loved one identify the drug and be aware of its use.

Brand Names

  • Ultram
  • Zytram
  • Ralivia
  • Ultracet


  • “Ultras”
  • “Chill pills”
  • “Tramal”
  • “Trammies”
  • “Trams”
  • “Tramodol”

Stay aware of these terms to avoid misuse, counterfeit versions, or potential risks.  If you hear any of these nicknames or brand names, it’s the same medication with the same risks and should be taken carefully.

generic Ultram 50 mg tramadol hydrochloride tablets with AN 627 printed on them

Tramadol hydrochloride tablets, opioid pain relievers, have “AN 627” or “AN627” printed on one side.

Short- and Long-Term Side Effects of AN 627

Common Side Effects

Whether you’re taking generic AN 627 or brand-name versions like Ultram and Ralivia, you might experience the following:

  • Nausea
  • Anxiety
  • Insomnia
  • Dry mouth
  • Constipation
  • Nervousness
  • Vomiting
  • Sleep disorder
  • Abdominal pain
  • Depression
  • Sore throat
  • Agitation
  • Diarrhea
  • Euphoria
  • Apathy

These are common side effects. However, if these symptoms linger or worsen, consult a healthcare provider.

Severe and Rare Side Effects

Serious AN627 side effects can occur and require immediate attention.

These may include:

  • Allergic reactions: Signs include wheezing and swollen skin, for example.
  • Anaphylaxis: A severe allergic reaction that needs urgent care
  • Emotional ups and downs:  AKA “emotional lability”
  • Withdrawal symptoms: Can occur if you quit tramadol suddenly or “cold turkey
  • Breathing issues: Like bronchospasm and dyspnea
  • Toothache: It might seem unrelated, but can be a side effect
  • Appendicitis and pancreatitis: Serious issues affecting the gut

These symptoms may be more common in older adults or people with chronic breathing issues. If you or a loved one experiences these, seek immediate medical help.

What to Do If Side Effects Occur

This is not a complete side effects list, and you should consult your doctor for more information. If you experience any of these serious or rare side effects:

  • Seek emergency medical help for severe side effects
  • Contact your doctor immediately
  • Report side effects to the FDA at 1-800-FDA-1088
  • Follow professional medical advice

Abuse and Addiction Risk Factors

AN 627 pills contain tramadol, an opioid (narcotic). This makes them highly risky for abuse and addiction. Factors that can lead to abuse include:

  • Personal or Family History: Previous addiction to drugs or alcohol or a family history of addiction.
  • Mental Health Issues: Anxiety, depression, or other mental health disorders can make a person vulnerable to abuse and addiction.
  • Chronic Pain: Prolonged use for pain management may lead to dependence.
  • Accessibility: Easy access to the medication increases the chances of abuse.

Signs of Addiction and Dependence

If you or a loved one is taking AN 627 pills, be aware of signs of addiction or dependence:

  • Increased Usage: Taking more than prescribed or for extended periods.
  • Withdrawal Symptoms: Experiencing physical or emotional withdrawal when not using the medication.
  • Neglected Responsibilities: Focusing more on obtaining the drug and neglecting work, school, or family obligations.
  • Failed Attempts to Quit: Multiple unsuccessful attempts to reduce or stop using.

Legal Status

AN 627 pills, because they contain tramadol, fall under Schedule IV of the Controlled Substances Act. This means they have some abuse potential but less than drugs in Schedule III. To get AN 627 pills, you need a prescription from a licensed healthcare provider like a doctor or pharmacist.

If you or someone you know needs this pill for pain relief, always get it through a proper medical channel. This helps you avoid health risks and legal troubles.

Counterfeit AN 627 Risks

Counterfeit AN 627 pills exist due to the pill’s demand for pain relief and its opioid content. These fake pills are dangerous because they might contain harmful or inconsistent ingredients like fentanyl to make a quick buck.

Consequences include:

  • Increased Overdose Risks: Fentanyl can be deadly in small amounts. It’s up to 100 times stronger than morphine, raising the risk of accidental overdose.
  • Health Consequences: Fake pills can lead to unknown and severe health issues, sometimes even death.

While the World Health Organization says over 10% of medicines in some countries are fake, it’s also a problem in the United States. The DEA has seized many counterfeit pills with fentanyl, proving it’s a growing issue in America.

What AN 627 Pills Look and Feel Like

AN 627 pills are usually white and shaped like an oblong tablet. They have “AN 627” printed on one side. Knowing how real pills look can help you spot a fake.

Identifying Counterfeit Versions

Fake AN 627 pills might look off in color, size, shape, or how they feel. Keep an eye out for:

  • Smudged imprints
  • Weird taste
  • Side effects that don’t feel right

What to Do if You Suspect a Counterfeit Product

If you think you’ve got a fake AN 627 pill, don’t take it. Call your doctor or pharmacist immediately. You should also report it to local authorities so nobody else risks taking a counterfeit pill.

Treatment and Recovery Options

Misusing prescription drugs is a national problem. In 2021, nearly 9 million Americans misused prescription pain relievers like AN 627. This shows why treatment options like those at Landmark Recovery are vital if you struggle with tramadol addiction.

When and Why to Seek Professional Help

If AN 627 negatively affects your health, relationships, or daily life, it’s time to get help. Treatment isn’t just about quitting drugs. It helps you understand why you started in the first place and gives you recovery tools for a fresh start.

Available Treatments

With medical care, therapy, and recovery support, addiction to [Pill code] is treatable. Medical detox helps manage withdrawal symptoms, followed by custom drug rehab.

You can beat tramadol addiction with the right help. Medical detox eases opioid withdrawal pains, and personalized rehab guides your recovery.

What’s Next?

AN 627 pills might be in your medicine cabinet or nearby, but are you aware of the risks? The dangers are real, from addiction and uncomfortable side effects to fake pills. You’re not alone if you or a loved one struggles with drug abuse. Help and hope are just a phone call away.

Call Landmark Recovery at 888-448-0302 and begin your recovery journey today.

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About the Author

Demarco Moore

Demarco Moore

A graduate of Middle Tennessee State University, Demarco Moore currently writes blogs about drug addiction treatment and recovery to help save lives at treatment provider Landmark Recovery. Before that, he cut his teeth as a sports writer at the Manchester Times, where his coverage and stories won Tennessee Press Association awards in 2016 and 2017.

He’s always had a knack for storytelling. Moore’s written content for junior golf tournaments and helped to amplify the “People Not Profits” message of credit unions. When he’s not writing, Moore loves to travel, laugh and put his mental health into the hands of the Tennessee Titans during football season.