Does Tramadol have codeine or opiates in it?

No, Tramadol does not have codeine or opiates in it. Tramadol is similar to codeine, but it is a synthetic drug. In fact, Tramadol acts like an opiate but is called an opioid. More on Tramadol ingredients here.

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No. Tramadol does not contain codeine or opiates.   But Tramadol does resembles a more simple version of codeine.

Tramadol: nature or synthetic?

Tramadol is a synthetic drug. This means that Tramadol is created in laboratories and is the result of chemical reactions. It is NOT a natural product, like codeine, and is called an opioid due to its chemical make up.

Tramadol: Opiate or opioid?

The term “opiate” is generally restricted to products which contain natural alkaloids found in the resin of the poppy plant. Depending upon classification system, however, synthetic substances such as Tramadol that are directly derived from the opium poppy are considered to be opiates as well. But for simplicity’s sake, we will refer to Tramadol as a semi-synthetic opioid.

Furthermore, Tramadol is not a narcotic pain medication. Many people wonder, “Is Tramadol HCL a narcotic?”  due to its efficient pain killing effects and possible euphoria, but the drug has not been classed by the DEA under the Controlled Substances Act.

Chemical structure of Tramadol

Chemically and structurally, Tramadol resembles a more simple version of codeine. In terms of chemistry, Tramadol is a NON opiate-derived 4-phenyl-piperidine analogue of codeine.

Effects of Tramadol

While that might not mean too much to you or me, what is important is that Tramadol is an effective pain reliever. And what is even more important is that products that contain Tramadol (Ultram) can cause addiction. Ultram addiction signs range from loss of control over taking the pain pill, to non medical uses of tramadol to compulsive and obsessive thinking about use.

If you think that you are addicted to the physical euphoric effects of Tramadol, see your doctor. There is not shame in admitting and getting help when you need it. Physical dependence can be addressed, as can possible emotional or psychological reasons that compel use. But you don’t have to do it alone.

Please leave your comments, questions and feedback about Tramadol below.

Reference sources: American Society of Health System Pharmacists info on Tramadol
Pharmacology of tramadol

Drug info on tramadol hydrochloride on Daily Med
About the author
Lee Weber is a published author, medical writer, and woman in long-term recovery from addiction. Her latest book, The Definitive Guide to Addiction Interventions is set to reach university bookstores in early 2019.


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  1. tramadol is not allowed to take in ghana so i cant ask a doctor about it, so if you will shown me how to stop it at home

  2. I have been on opoids for 25 years for fibromyalgia. Nine weeks ago I stopped taking oxy. For 20+ years I took 120 mg a day. Then 3 years ago I hear on the radio that oxy came from the opium plant. At first I did not be,i eve this. Then I did research and was blown away to find out it was true. I had started having opoid induced constipation. Called the doctor and he gave me a prescription for the problem.Half an hour later I was doubled over with such horrible cramps I was in tears. Still I could not have a bowel movement. Another half an hour I was finally able to go, but very painful. When I stood up I felt relief until I looked at the toilet. I have never seen so much in the toilet. I flushed, it was so long it would not go down.Every 30 min. I would flush t would not go down. Finally after 3 hours of this, I put on rubber gloves and put it in a bag. The bowel movement would not break until I bent it in half. It was like concrete, no wonder it was painful to pass the bm. Long story short told the clinic I wanted off of this. They started cutting me back.After 9 months I was still on oxy. They had on the same amount of oxy so I started cutting myself back more than what they did. So the day came and I had gone from 120mg to 15mg a day. I asked for Clondine. At first he did not want to give it. He wanted me to take other opoids. I said no. Finally he gave me the Clondine, plus two months of oxy and a script for tramdol.when I got home I threw the scripts in the wood stove except the Clondine.Before I left the office he said since I was only taken 15mg a day of oxy I would have no withdrawal. Next month I realized he either did not know what he was talking about or he was trying to keep me hooked on oxy. I was going through withdrawals. Before I left the clinic inasked how many people come through in a day I said 75? She laughed and said try 125, plus they have two more clinics with the same amount of people. Do the math, $325 per person x 375 People. X 5 days x 4weeksin a month. I never once saw the doctor. This was not a clinic but a pill mill. Clondine helps with withdrawals it is a high blood pressure med, not opoid.Hang in their guys u can do it.

  3. I had back fusion in 2015 to help ease my back pain. I am seeing a Back and Spine Doctor for my pain. My back does not bother me as much as it did before my surgery. However I am still having some pain that is uncomfortable on a daily basic. My Dr. prescribed Tramadol twice in the two year since my surgery. He will not give me any more. What can I take that not addictive? And what drug can I take that will help with my pain?


  5. I had a rotator cuff repaired. I was given
    Tramadol as other things made me sick.
    After 1 month of using this drug, I wanted
    Off. It was horrible! I couldn’t sleep for 2 days.
    I was so sick. I couldn’t eat or drink anything.
    I was close to suicidal! I’ll never use pain drugs

  6. I think that the withdrawl process for tramadol is far more dangerous than typical opiate DTs. Because of it’s action on the serotonin receptors, it carries the risk of seizure. When a person abuses it the line between high and deadly is way too thin. It scares me how quick a doctor is willing to give you tramadol HCl over an opiate because it looks better to the DEA.

    1. Hi Steve. Taking Hydrocodone and Tramadol together can be dangerous. The usage and effects of these two drugs are quite similar. Mixing them together increases the risk of serious side effects such as: seizures and respiratory depression.

    2. Hi Steve. The combination of Hydrocodone and Tramadol can be dangerous. The usage and effects of these two drugs are quite similar. Mixing them together increases the risk of serious side effects such as: seizures and respiratory depression.

  7. My husband was type one diabetic , and clinically depressed.
    He was prescribed tramadol by his life long doctor that knew his history. We consulted his doctor several times after my husband started having seizures. Did seem to be concerned that is was tramadol. Sad to say my husband is no longer with us. He committed Suicide after using this drug. Please talk to you doctor if you have depression. This drug can heighten your depression, I never want anyone to find out how dangerous this drug is like our family did.

  8. Don I have been prescribed 50mg 24 hrs ago Tramadol for severe pain with little effect so far.I have read Paracetamol can increase the effect of Tramadol is that so and his it safe without seeing the doctor ?

    1. Hi Donald. Tramadol is an opioid painkiller, and may lead you to addiction. So, I suggest that you consult with a doctor before taking it.

  9. Ii ended up having a total hip replacement That’s what the pain was from. Got the tramadol from dr. Didn’t seem to help at the time. 50 mg proscribed. I went months with no relief. I was going to the VA and couldn’t get a visit with orthopedics for months. I took Aleve which helped more at the time. VA told me to walk on it or I would get stiff. They have me at the time a cortisone shot. Didn’t work either. So I tried taking 2 of the 50mg tramadol, by that time my husband got me a wheel chair cuz I could no longer walk. It worked pretty good. I went to the VA ER, nothing changed. No X-rays ? So finally I went to local hospital ER. They saw my femur top round bone was almost totally gone, gave me crutches and I later got wheelchair. The local ER sent me to orthodox ipedic dr 1 month later I’m fine, walking on my own!

  10. This isn’t a spam message. I am posting to say I have worked in pharmacy for years , and tramadol is not a opiate, it will not get rid of toothaches, earaches, headaches, or sore throats, it does help with mild back pain and restless legs, under the law ALL opiates must be placed under lock and key, but tramadol is a shelf medication, if it were a true opiate under the law it would have to be placed under lock and key. Thank you

  11. After shoulder surgery, took tramadol for two weeks,came off it can’t sleep and feel anxious. Been off it for two days how long can it take for it to get out system?

    1. Hi Natasha. Tramadol isn’t going to show up on standard drug tests that, but it will show up on a toxicology screening specifically designed for prescription drug detection.

  12. I have told my GP Dr I would like to taper down my tamadol, but he won’t help me with a safe substance to augmant the effects. He insists Cymbalta is better and safer fro me to use, perhaps as an ongoing PK. He will NOT allow a one-time script of valium to use for this purpose, as I have suggested.
    What about your opinion?
    My pain is Mod/severe, at a 7 level if I let the pill wear off. I have shown no problem signs about addictions, but I can see he is afraid to prescribe Valium because of addiction concerns, which makes no sense to me, considering I was wanting to quit tramadol. I have a left Biomet replacement and mt right hip is in an advanced state of decay. I have one kidney and possible liver danger. I have hypertension and am on Amlodipine, Enalapril and Metoprolol.
    Help me!

  13. i was on mylan stamped m othr side t-7 in nov it was switched to 377 by sun pharm and caraco pharm i dont no why maybe cheaper but since the switch i had the worse scalp itching and losing my hair from scratching my head raw . i have to ease off the tramadol because withdrawal is very painful. in between i smoke medical mar because it gives me a faster pain relief and its not addicted or get u high. tramadol is derived from the poppy or opium int that a kick in the head and i wrote to the fda and told them its addictive and your saying no.well try taking them and stopping the pain is terrible . you should all ck out the fillers etc that make up these pills its amazing.

  14. I have just read all the blog’s. I am currently going through methadone WD! I have interstitial cystitis and was prescribed an unbelievable amount of different meds for the last 21yrs. This is my own decision to do this! . For the first six days I went through absolute living hell. Then I went to my family Dr. He prescribed Librium, tramadol, trazodone for sleep and anti nausea because I could not eat, drink,or sleep! I for got to mention that on the sixth day I broke down and took 60 mg of methadone just so I could get to the Dr. Big mistake on my part! Didn’t know what else to do? It’s been ten days now and I still feel no better. I looked up Tramadol and know it was a mistake to take it !!! Feel like I have start all over again!! Ain’t this a bitch! So weak, funky metallic taste in my mouth 24 hours, crying all of IT. I am hopeful that this will be worth it at the end of this miserable existing!!! I am 67. By the way. Wouldn’t wish this on anyone. With GODS help we will get through this! God grant me the serenity to accept the things I cannot change, the courage to change the things I can, and the wisdom to know the difference!!!!!! This to shall pass!! God bless!

  15. I’ve been taking tremidols since 2016 of march my Dr.prescribed them to me for a pinched nerve I had but after that I kept taking them for leg pain its been a year and a half now there was a time I forgot to take my tremidols and I felt crazy my body felt chills and sweat and stomach pain like addict does I suppose but I haven’t said anything to my Dr.yet but I intend to and ask her why she dident worn me about tremidols isn’t it her who should have told me? My daughter in-law told me cause when I told her when I forgot to take it she looked for information about it and she works in a hospital I’m not gonna lie I am afraid of the withdrawals cause I already kinda know how it feels but in my investigations with other people there one way tapering them but for that I have to see my Dr. First I hope I can fi and the help to get off of these had I been told I would have not continued them honestly !!! I forgot to mention I’m taking 50mg each twice in morning and bed time I take to both times so that’s 200mg

  16. To max.. from my studies you can use tram for hydro w/d ease. And you can taper off the hydro over time. Been on tabs for 8 years and sick of always putting them as a priority. If I can keep the tram intake low during the days. And the xan low at night, within 3 weeks I should be able to sober up with no problems.

  17. If tramadol 50 mg. doesn’t work and hydrocodone 10mg. doesn’t work and oxycodone 10mg is too strong, what pain relief would you recommend?

  18. Tramadol does nothing for my pain it is overrated and Doctors think that it really helps people because people abuse opiods they came up mith this BS . I just had surgery on my ankle had all the hardware that wad in it removed and wss told that I could walk on it right after surgery and Tramadol is what they have prscribed me for pain it should not be used after surgerys for pain it is not strong enough!!!!!! You mide as well give me a water pill. I dont and never have had an addiction to opiods and get prescribed this BS of a pain pill.

  19. I have taken hydrocodone for several years for chronic pain. I decided the cure was worse than the disease and recently went cold turkey. The pain of detox was unreal. I started taking one 50mg tramadol to help get through it. I have been off hydrocodone for 12days and yes, I’m getting better. I just wonder if the tramadol is prolonging the detox process.

  20. I recently took a drug test for a job and failed due to having codeine in my system . I take Tramadol and Xanax daily due to anxiety and arthritis pain and lower back pain from a fall. Why did codeine show in my drug test ?

  21. Tremadol like with any pain meds There is always a chance of addiction, if you don’t absolutely need it then don’t do it….i myself am a recovering addict and I’m feeling my best without taking pain meds… that’s Where addiction begins….I thought I was in really bad pain back then but today I’m feeling no’s the long term use that keeps a person in pain because without it your body will ache so bad…( Don’t take pain meds If you don’t need them)

  22. Opioid = narcotic. Tramadol is a schedule one controlled substance requiring a prescription. It is addictive.

  23. I am a head injury victim & I have had to take Tramadol when my pain has become too severe. I do not use it on a regular daily basis, only on the occasions that I really need good pain relief. I find it works for me quite well in relieving my nerve pain. I am in the process of now having radio frequency treatment done on my scalp & some facial nerves & so far it has worked on my three occipital nerves.
    I hope to not have to use pain medications if all the radio frequency treatments work. I have been taking Lyrica with Cymbalta for some years for nerve pain.

  24. Hi I have a prescription of Tramadol that I received due to restless leg syndrome. I am currently in a program that I drug test 2 to 3 times weekly. I am apprehensive about taking it due to fears of it showing up on the test. My leg pain is so horrible but I don’t want to get into trouble. What do u recommend

    1. Hi Amber. I suggest that you explain and show your Tramadol prescription to the people from the program. There’s an exception for certain cases like yours.

  25. Hi, I’m in the UK. I’ve been taking tramadol for many years due to a back injury. After surgery I was prescribed a high dosage of codeine which I became allergic too. Dr prescribed tramadol as a replacement. I’m on 800mg per 24hours. I wean myself down to half dosage when I’m having reduced pain but always end up back on top dosage. I hate it!!! I’ve gone cold turkey a few times which I DO NOT recommend without supervision. I only had to as I couldn’t get my script filled. I know I’m addicted to it but I’m also allergic to NSAID’s too so I’m at a loss as to what to do for pain relief. Over 20years of pain management classes,physio,doctors waiting rooms and I’m at the end of my tether….i want off it badly. My Dr has said basically i have to accept that because of my condition I will be on some kind of pain meds for my lifespan but I’ll take any advice on this from you guys if you have anything different for me please???

  26. I broke my back in 2006 my Dr prescribed Tramadol because I have an addictive personality and I didn’t want anything stronger Since than I have been using it for severe arthritis , knee replacement and other problems but I have never gotten addicted to this medicine I very rarely take it more than 2 days in a row and never take more than 2 doses a day except if it is a really really bad day So you don’t get addicted any way When my Dr originally prescribed this medication to me it was thought to be nonadictive But I have always thought about my poor kidneys

  27. I am addicted to norco. I have stopped taking norco and I started taking tramadol so that I can get off the norco without the withdrawals. I don’t have withdrawal symptoms from the Norco as long as I am taking tramadol. Is this ok? Will this ultimately work at getting me off the norcos?

  28. Im sorry but your information you have published is incorrect. Im an RN and tramadol is a narcotic. You WILL have withdrawals from tramadol if taken on a consistent basis and they will be just as bad as any other narcotic drug

  29. My pain management doc has had me on Tramadol for over 3 years, and I have been on 600mg per day for the past year. I determined that I was addicted when I skipped my evening meds and spent a night of misery. My doctor told me that I couldn’t take any higher doses and suggested a new MRI to see if surgery might alleviate my suffering. I decided to go “cold turkey” this past Saturday evening, and it has been HELL, so far! I believe that today I am over the worst part, but I’ve had only about 3 hours of actual sleep since Saturday night, and my body is totally wasted! I’ve had sweats, chills, runny/stuffy nose, nightmares, shakes/tremors, entire body spasms, pain all over, cramps, nausea, sleeplessness, you name it! This stuff is hard on the body; I determined that I could no longer take this stuff, as only even moderate relief has now required the increased dosage.

  30. to carol ,I had to take tramadol the whole time I was well we read you w have to take nine times the doss age to harm the baby,still I worried so much my baby girl has no problems.shes 18 & in total health.Hope that I helped ease your worries.congradulations on your blessing from above also I took six a day

  31. Tramadol is a dangerous mentally and physically addictive drug which has caused much devastation and also death. They will tell you anything to make money.

  32. HEY DON. I’m a vet as well. Enjoyed reading your comment because I go through the same shit. The VA should be privatized in my opinion to get better care. Its a huge agency that wastes billions while the vets get shit care…. Were vets those doctors news to show some respect all young acting like they know everything and don’t even listsen to the vet. We need better care. Do an MRI there is plenty of money sitting there its the only thing congrss can agree on. Throw some billions to the va and hope it works strategy. Bunch of vs ??

  33. I have severe back pain. I just don’t say anything to my doctor. They always think ur ar e abusing it.i just want my back to not hurt. I take 50mg. I get more relief sitting or laying

  34. Again I feel it essential to point out through YEARS of personal experience that Tramadol/Ultram is about as addictive as chicken broth. If however, you are an addictive personality type it COULD be a problem for you. Addictive personality types take medicine for pain expecting a buzz instead of pain relief (relief is never complete with any of the currently available medications) Some opiates/opioids distract you from the pain with varying degrees of mood changes, but it is still there, you just don’t fixate on it. If the medication you are taking to assist with coping skills gives you a big buzz and you like the feeling, just remember that you may be detracting from your coping skills by a temporary enhancement of your mood, but your cause of pain is still there. I have stayed away from more traditional opioids/opiates understanding that their masking abilities are very temporary. Use as little as possible of any medication for severe chronic pain. Consider a trip to a pain management clinic where practitioners are a little more enlightened about chronic pain and often use other approaches(like steroid injections etc.) along WITH medications like Ultram/Tramadol or other lighter opiate/opioid based medicarions. ALWAYS Remember that part of our problem remains the medical professionals who know so damned little about chronic pain and its debilitating effects. They prefer to look at all chronic pain sufferers as addicts or potential addicts. An adversarial relationship has developed between medical practitioners and patients.

  35. My husband just got a prescription for tramadol and it does have an opiate in it.I researched it because I knew when I took it a few years ago,it did not. He has a tear in his rotator cuff so it is an addictive drug it says on the drug description used for pain.I researched it and as of Aug. 2014 it has been rescheduled to IV drug.Research it……it has changed! Hope this may help.Thank you

  36. My husband was just given tramadol and it has an opiate in it now.I knew it used to not have so I just researched and as of Aug.2016 it has changed, IT CAN BE ADDICTIVE IT SAYS ON HIS DESCRIPTION OF TRAMADOL FOR PAIN IN HIS ROTATOR CUFF…HOPE THIS HELPS

  37. I take 50 milligrams of tramadol 3 times a day and yes they have said it is a controlled substance the DEA has said it is now a controlled substance my doctor cannot call the prescription and I have to take it in and all my other ones they call with in so it was wrong

  38. I CANNOT BELIEVE THE IGNORANCE ABOUT TRAMADOL!! I t was first prescribed to me by, GET THIS, my drug & alcohol counselor as a NON-NARCOTIC substitute to Opiates. Fast forward a year or more and I am here to tell everyone; IT BECAME A WELL KNOWN SECRET AMONGST HEROIN ADDICTS to prevent withdrawals, I do not care what anyone else’s “conspiracy theories” are to why it was reclassed as a schedule 2 NARCOTIC, I am firsthand living breathing proof that it IS PHYSICALLY ADDICTIVE, which means you are being sabotaged by your doctors if you switched to it to avoid the symptoms or dependence related to Opiods/Opiates. It is NOT some secret aganda by big pharma, if anything was a secret agenda, it was by them to create a whole new base of physical dependence among the unknowing and uninformed. While there may be exceptions to how different people respond to this medicine, DO NOT BE FOOLED; it is definitely a NARCOTIC, it is definitely an OPIOID/OPIATE, and it will definitely be trouble for anyone using it for prolonged periods of time, especially those with an addictive nature. DO RESEARCH MY FRIENDS, don’t ever be so ignorant as to just take someone’s word on something that goes into YOUR BODY. Do your due diligance and make an informed decision about what substances you are feeding your body.

  39. I have been off and on with Tramadol for the past few years. There is absolutely no addition. I could go off tomorrow and it would not phase me. i have Neuopothy and Arthritis and this is the only med that will help me. But, I do not see anything whatsoever addicting about it.

  40. I have been using Ultram (Tramadol) since it was first available. It may have had a simple extremely mild “euphoric” (such a silly term to use in this case) effect in the first few tablets, but that simple buzz disappears in short order, but the pain relief does NOT. I am a disabled Veteran using the medication for chronic pain. I have gone without the medication when local pharmacies ran out or prescriptions expired and a two week waiting period occurred due to bureaucratic snafu…(not a “one time” occurrence with the VA). I am convinced the other pharmaceutical houses are upset with the fact that Ultram has replaced many opioid combinations as the 1st line of defense in chronic pain treatment by the VA. That is a lot of PROFIT that big Pharma is fighting over and articles like this one only lend credence to their bogus attacks . Anyone who becomes “addicted” to this synthetic derivative of opioids are likely addictive personalities that would, if left to their own devices become addicted to bread. (PS….I was a detail man for Ives Labs (AHP-Ives, Wyeth, and Ayerst) for 5 years)

    1. Hi Karen. Tramadol isn’t going to show up on standard drug tests that, but it will show up on a toxicology screening specifically designed for prescription drug detection. So, the test may be false positive to morphine. I suggest that you download our FREE e-book on drug testing where it is detailed explained what causes false positive results, and what to do next:

  41. I was on 400mg of tramadol for 6 month before heart surgery please be careful on this I now have a damaged liver and on more tablets to take the pain away.

  42. After a complete knee replacement which was a complete disaster, the replacement and kneecap moved tearing the main tendon attached to the top of the kneecap. It also tore the tendon attached to the interior length of the kneecap. Thus began a chain reaction which basically destroyed my quadricep. 0rtho had me on Percocet 10/325 for six weeks then switched me to Tram adolescent. Tram adolescent was entirely useless to me providing no pain relief.
    I did some research on total knee replacements taking out a quadricep and in a study of 25,000 replacements 0.1%, that’s 0.1% had the same problem I have.

  43. If you are in real pain tramadol does nothing. Or at least it didn’t help me.

    Unfortunately if you’re in a lot of pain you may need a narcotic. But realize that addiction and dependence are two different things. Dependence means that you are taking the drug as prescribed to manage your pain. When you want to quit taking them or if you don’t need them anymore, the doctor should help slowly titrate you.

    It’s a shame but in our country it’s almost illegal to get your pain managed. It started with the war on drugs during the Reagan years. Everyone is attacking prescription narcotics now because people are not locking up their drugs so that their kids can’t get into them. ‘Families against narcotics’ is a group that is everywhere. We have three different groups in my small hometown. It makes me so angry because they are protesting against people who need to manage their legitimate pain. And pain doctors are very hard-to-find. Why treat pain if there’s a chance you could lose your license? So people everywhere are suffering when they don’t need to be. I take a hydrocodone compound (made in a compounding pharmacy) so that I don’t get the Tylenol. My insurance doesn’t pay for this but I don’t have a choice because this one works the best for me. I don’t experience any side effects.

  44. I am allergic to Vicodin(hydrocodone) is tramadol an option or would I likely be allergic to that as well?
    Thank you.

  45. I remember when I was horribly addicted in loved the taste as I chewed them up because when I had several on my mouth chewing them up I’d get a numbing affect but the euphoria differed from each time I used them. This was about five years ago so quite awhile ago but I remember the withdrawals like it was yesterday. I didn’t get sick just alota anxiety, panic attacks and severe hallunations and buzzing noise coming from my ears for many days! Finally I got back to myself but my back started bothering me and my neck amount many other things. I’m now on the TRAMADOL again as well as MS continue & percocets x 4 and I hate the TRAMADOL now it’s like YUCK! HOW DID I EVER LIKE THESE OH THEY ALMOST MAKE ME SICK, WELL USED TO ITS A TINY BIT BETTER BUT STILL YUCK TO ME! ? it’s funny how I once upon a time thought I couldn’t do without them & now they are disgusting to me. This feels like a one time incident not addiction Idk now. Because it’s so difficult to take them and I take them only if I need for pain. It’s amazing tho how I used to yuck I don’t even wanna think about five years ago. Funny how things change.

  46. I do not use drugs but i have back pain and usually take ibuprofen and the last three months i took one i7 mg hydrocodone and one 50mg tramadol over a wek ago.. will these show up on hair follicle test

  47. Tramadol is most definitely a narcotic and should be designated as such. It is derived from the opiate poppy and that is definitely a narcotic.

    I want to know why this is not designated as a narcotic by the FDA.

  48. I was given Ultram when it first came out. A non narcotic drug to help with the nerve pain associated with my severe fibromyalgia. IT didn’t help with the burning psin on my skin as it said it woukd, it made my head feel weird & I didn’t take it anymore. Years later I was warned not to take it as I am allergic to codeine, It made my head feel about like neurontin did. A seizure medication they use for nerve pain. I have takrn both at night as It made me a little sleepy. Now they have put ultram in same class as opiate & it is not an opiate &;it is not addictive. They want to take our rights to get & make Drs afraid to prescribe medications for problems we have so they will probably make aspirin a schedule 4 drug before it’s over.

  49. Hey, I am currently using tramadol for exposed nerves in my teeth. I have 5 teeth with this issue , and am on a long waiting list with dentist. I cant sleep at night I get maybe an hour and a half but that’s it. Its constant pain which the tramadol works to an extent. Its making my stomach queezy and I feel extremely sick, is there any ideas on what else I could take as gp isn’t helpful, as I cant put up with this 24/7 pain. And when I am feeling relief in sick.

    1. Hi Brodie. Maybe you can report these effects to your doctor and get switched to another medication that will take care of the pain and discomfort without causing you to feel nausea.

  50. My name is Sonia, i’m 22 years old. I addmit that i am addicted to tramadol. At first yeah i felt that the pain went away… but, then i kept using it for few more days cause i felt happier. Felt that i was shinning .. the most important thing for me was the stress away … but without knowing i got attach addicted cause always at the next day i felt miserable …. ugluy, tired ,axious and just couldn’t stop thinking about that pill had to go nd look for it. Cause at the end of the day it affects my body nd just couldnt respond to any pain medication such as tylenol, advil, alive … etc…. i always knew that i was addicted, but always say to my self i need to go to work nd put my best and be the best… nd i did it… i earn my place but thanks to a pill that gave me that streght to be better ? Like wow really i though oh is thanks to that so i felt bad cause i got obsses for my job… so i had to look for it … now i just got 2 left sense sunday nd today is wenesday … i was feeling like shit ….these past days but i am strong stronger than the pill now is just past thanks to got i feel relief…. peace just have a bit of anxity …but im winning the fight … nd im gonna win… IF ANYONE KNOWS THAT THEY CANT LIVE WITH THATFIGHT FOR YOU CAUSE NOBODY IS GONNA FIGHT IT FOR YOU …. JUST REMEMBER THIS IS OUR BODY OUR TEMPLE GOD GAVE US … PEOPLE WE ARE ALIVE ND WE GONNA FIGHT FOR OUR KING 🙂

  51. Hi every one I myself have been takeing tramadol now for 10 years and thats 6 times a day but I don’t think I am Addicted to them I am on a lot of pills I tak wiv them I just like to know is there nothing else I can take wiv 2 tramadol +2 Paracetamol +4 ibuprofen

  52. I have been using Tramadol for a while now, i have osteoarthritis in both hips. The pain i experience is severe & the only pain relief for this is Tramadol as it takes the pain away imediately, i have tried Co codomol for the pain but this did nothing to aleviate the pain

  53. I took tramadol for the first time last night, in the mornings my head felt woozy and my stomach felt queezy. I felt tired and lifeless. It also didn’t help my back.

  54. Some people have addictive personalities and will become “addicted” to “Cinnabon rolls” or dentine gum. Yes Tramadol was recently hiked up to a class II pharmaceutical by the FDA due to heavy lobbying by Major drug manufacturers who rely on Codeine and di-hydrocodeine products as their “Cash Cows” to scare physicians and patients into being wary of Ultram. The VA is one of the largest Rx’ers of this pain reliever, so the FDA imploded with the pressure from lobbyists to place it in the same class as true opiate based Rx’s . Now watch Pfizers profit margins climb back up into the stratosphere. This is bullcrap politics. I am 72 and have relied on Tramadol for 11 years. No addiction, no high, just marginal relief of chronic back pain . Raspberries to cowardly politicians !

  55. I have been on tylonol 4 with codeine for more than 10 years. I have had several neck fusions and one RIb. Resection ( thorasic outlet). They removed my first rib on my left side as I had no feeling,pain was horrible and felt like someone was hitting me with a baseball bat. Had several shots allowed by law of cortisone. Painful. Physical therapy. No relief. My doctor recently dropped me after being a patient for over 25 years foe no reason. I am in withdrawal from this as anyone would be. Any suggestions on how to get threw this. Anxiety levels are horrible and can not sleep. Though I am greatful

  56. I tested positive for opiates in a probation drug screen and came back positive. They violated me and I had. A prescription
    In Florida they made it a schedule ll so it is listed as such.can this happen? I really need help and could be in a lot of trouble just because of this. Please help me out with this so that I can show the probation and judge thank you for your time

  57. I am a disabled Veteran and have been taking Tramadol for 10 years. I never thought of the medication as an opiate because I never had the side effects typical of Codeine containing products. I began taking the medication on a 2 tab per 6hr. period as needed. My Rx was changed after 6 months to 2 50mg tabs BID. I have had no trouble until the VA determined the medication to be “addictive”. In having to rely on the VA for refilling Rx’s I have often gone weeks without the product due to poor Rx delivery service and expiration of Rx’s. The only effects I have had to the prolonged periods without Ultram has been increase in severity of pain. I am a 71 year old Veteran and I find all the hullabaloo about this medication to be bullcrap. A competing truly opioid based drug manufacturer must have lobbied vulnerable Congress critters about the competition with this medication and had it reclassified to the class2 rating that created the “chicken-little” effect among VHA formulary decision makers.

  58. Try not to soft sell that this is not a codeine. I am highly allergy to any form of codeine and have suffered the same effects as any other codeine product. My effects are utter depression with suicidal thoughts while on this drug. Off of this drug and any type of codeine, synthetic or natural, I am completely up beat without any depression.

  59. Im currantly 5mo. And take 50mg of tramadol for teeth pain. Can it harm my baby? Should I stop taking it?

    1. Hi Carol. Does the prescribing doctor know that you are expecting? I suggest you should seek advise from your gynaecologist to determine whether you can keep taking it or should avoid using completely.

  60. I am in horrific pain mostly in the morning and I am sick of the weak potency of tramadol that said I been on it for 7 years where my pain has certainly progressed and I need something stronger like a real opiate e.g. vicoprofen can anybody help me #INEEDREALOPIATES !

    1. Hi John. Why don’t you talk this over with your doctor? I’m sure s/he will be willing to prescribe a medication that can help you manage your pain successfully.

  61. I was prescribed Ultram by my Doctor of 45 years about 12 years ago for pain and found out that it took away my scratchy throat and chronic cough. He said “Great” and left me on it. It gave me no side affects and virtually took my cough away. Sometimes by the way I would get into a coughing spell that would seal off my air and I could not breathe. Very, Very scary! Do to having to refill all the time, He finally changed my prescription 360. I took as needed but never became addicted to it. My Doctor just retired last year. I finally got a new Doctor this year whom I lick very much. But he told me that Tramadol{as its called now] was a controlled drug and a Narcotic. I told him if that was the case I would stop taking it and look for some other way to control my cough. So far I have not been able to do so. I don’t know what to do now? Since I saw him last I’ve had some very scary situations in my life, nearly loosing consciousness several times. I am going to have to ask him to give it back to me. I don’t like taking drugs, but when I have no side affects and it helps me live a normal life I think I should take it. I don’t believe I was addicted to it[ I did not crave it at all] I just took one 50mg when I was going somewhere and didn’t want to take a chance on having a bad coughing spell. I’m 71 years old and in very good health. Have a great day, Kent

  62. i have taken tramadol for months i never had any kind of addiction to it so i dont see how it can be addictive i can easily come off them and feel no side effects unlike norco or percocet

  63. While Ultram did relieve the neck pain, the side effects of cold-sweats, extreme nausea and feeling like fainting was horrible. It felt like the times I had been given morphine or codine in the hospital. Awful! I wonder if I took Zofran before taking Ultram if I would be alright.

  64. Your information on the Tramadol is incorrect it is contra indicated for someone who has an allergy to codeine to take the Tramadol

  65. My name is Kim my fiance is Mike. Both, Mike and I have battled and still do with opiate addiction; preferably vicodin now replaced by “norco”. In the present now both having had tramadol prescribed Mike and I both feel great over talk and comparison is Tramadol much outwieghs “norco” but in a sense is same re: pain relief, same euphoria (mimics mood stabalizerers like depakote, also more real energy) unlike the nasty “vicodin crappies)…….Thank you, Kimberly and Mike.

  66. I appreciate the information you gave in this article, as a current tramadol user (patient). Just wanted to give you an update that I recently received. “The U.S. DEA has recently determined that tramadol will soon become a federal controlled substance, similar to other pain medications.” This change takes place on August 18, 2014.

  67. I was put on that stuff years ago ( 10 or 11 after i got hep c from my wife which they said i could not and was on vicodane for a few years which contained 500mlgs of evil tylenol and was taking 4 aday sooooooooo 2000 mlgs a day! the doctor who gave me this told me tramodol was not addiictive and no withdrawals and the pharmistist told me the same! sooooooooooooooo when i was not working(const 30 years) i quit well 3 days later terriable withdrawls! i do not like any doctors etc because if i would have been on plain oxycodone none of this would have happened and it works wonders1 tylenol kills your live ibu causes heart attacks strokes and can ruin your stoumach asprin does the same and all nasids are bullcr##p! The only thing with narcotics alone are withdrawl if a stupid docor takes you off of them and constip[ation which i cured with 2 bowls of granola a day and you need more as time goes by1 so to all the doctor shoppers and pill pigs the best thing for you is to od! i have been sober 19 years and yes i take oxeycodone every day but to get it i had to go to colorado to find a doctor to give it to me!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! let alone the drug laws in this country1 drink yourself to death or smoke yourself to death and nothing is done but do drugs and you are condemmed by soooooooo many1 do what portugal did 15 years ago decrimanalize all drugs and it has truly worked1LOOK IT UP!!!!!!!!!!!!!!!!!! I am 59 and have worked my tail off for 40 years and played music that long and am tired of being treated loke a kid or drug addict! NEVER TELL A DOCTOR YOU ARE ALKIE!!!!!! Or you will go threw needless pain1 ive been around aa for 41 years and studued it for 30 plus! it took so many years to do the deal and thank god im at peace and god will not let me abuse my pain pills or my xanax!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! Peace Love hope and May the power of Guide and bless you!!!!!!!!!!!!!!!!!!!!!

  68. I have for the last 10 years chronic cough, two days ago The Doctor prescribed 25mg of tramadol
    at night only. I am afraid that I might be addicted to it in the future.
    At night I sleep I cough like 10% less than before at night. Day time still coughing and I am tired.
    What do you suggest since I am afraid from this addiction after I read for almost 2 hours about this medicine.
    Your help is appreciated.

  69. Best thing since sliced bread. No addiction associated with it that I could find. I take one in the morning and one around 2 PM. If I didn’t take it, I would be a screaming, blooming idiot. Have used a walker, can, crawled, etc. With this miracle drug I am alive and on my feet. I am never free of pain, but, I am just about as free as I am ever going to get. This is not a narcotic. It works like Codeine they say. I have Rheumatoid Arthritis. I have had it for about 25 years. I didn’t know if I could survive until my daughter said, “Mom, you need to try Tramadol.” Then, I started surviving for real. Everything has a side effect. With Tramadol, I have found no side effects. The first few months I couldn’t stand the taste of sugar. Some constipation for which I use one little stool softener a day. It is definitely my cup of tea.

  70. I really like this drug and think others would greatly benefit from it. As to getting off of it, is it any worse than getting off Lexipro. I hated that drug. Drama-dol helps me with binge eating, too. I am physically active when my joints don’t hurt yet I sleep soundly at night. I feel content !!! and that is a very nice place to be

  71. I have been taking tramadol for knee pain for several months now. I still take only 1 pill a day. I find its time release aspect to be enough to not want me to need more. I have been in and out of recovery from alcohol, prescription opiates and cocaine for years. I also had bariatric surgery for my food addiction. I find , for the first time in years, a complete sense of satisfaction , sort of a peace of mind, from this pill. I always used to fight the urge for more. I find now that I just plain old Feel Good. My knee still pains once in awhile so the pain isnt “gone” but it is livable without hydrocodone which used to be my drug of choice. My doctor told me it works much like a reuptake inhibitor. She tried me on Lexipro for a bit but I never felt like myself when I was taking it.. To all my addict friends, I highly recommend this drug. It keeps the monkey on my back satisfied by taking just one a day. Wow! I actually feel happy most of the time.

  72. Cheryl – I’ve had 5 neck and back surgeries and have been on every pain med made at one point or another. Two options that may work for u… Nucynta – it’s fairly new and is suppose to be equivalent to percocet but I never found it to work for me. The other medicine is methadone. People think it’s only used to get off of heroin but it was actually developed in the 1930’s to be a pain killer and during trials found that people were kicking heroin. The dosage for pain is very small compared to methadone maintenance and is very effective. It’s also easier on the liver and kidneys with less sensitivity and allergic reactions then the other opioids. Word of caution: it is very hard to get off of if you are on it for a long time and the dose must be tapered to avoid withdrawal symptoms. I didn’t realize how much pain I was in until my pain management doctor put me on methadone and for the first time in 6 years I was nearly pain free. I’ve been on the same dose for 4 yrs and its still very effective without making me groggy or unable to concentrate like Percocet, fentanyl, etc. Many doctors are reluctant to prescribe methadone because it can be very dangerous if not titrated correctly when first starting on it, but most pain management doctors should offer this as an option. The best part, it’s dirt cheap compared to other pain meds…I take 10mg 3/day…so 90-10mg pills are $12-15. It has a very long half-life so it doesn’t wear off as fast as other opioids. Methadone is for patients who have severe chronic pain and for conditions not likely to improve (ruptured disks, nerve pain, other spinal problems, cancer, etc) and NOT for something that will heal (broken bone, pulled muscle, post surgical, etc). So your own research and talk to ur doctor. And good luck! BTW…I really do have a chemistry degree w a biology minor and classes in biochemistry, physiology, and anatomy. So I have educational loan with personal experience. I wish you good luck!

  73. Hello Barbara. Speak with your prescribing doctor. You may need a more potent opioid such as hydrocodone or oxycodone to help control pain.

  74. I have been using tramadol for a couple of months now and I find little or no relief from it. what should I do about this. I have 3 blown disks in my neck and I am in pain every day.

  75. I have had a lower back fusion and last week a fusion on my neck losing 2 disc. As you can imagine I have been on oxycodine and Norco 10 ( hydrocodone ) am now realized I’m addicted. Im currently going through withdraw cold turkey and this is tough. When I told my Doctor I am struggling with those Meds he Prescribed Tramado. Will this help or is it going to continue my addiction. I;m trying so hard to quit, But I’m also in pain and not sure what to do?


  76. Hello Cheryl. When prescribed by a doctor, fentanyl is administered via injection, transdermal patch, or in lozenge form. Check with your prescribing doctor to learn more about this synthetic opioid. It’s possible that a similar reaction could occur.

  77. I am allergic to demerol,codeine and morphine. Was recently diagnosed with diverticulitis and when released from hospital was sent home with a prescription for tramadol. Which I am having the same type of reaction from as I do from codeine,extremely itchy all over my body and it is affecting my throat a little . The reaction isn’t nearly as bad as with the demerol or morphine which both I get hives, my arm swells up huge and my throat shuts down. I need something for the pain so I will put up with the reaction just hoping it doesn’t get any worse. What other synthetic drug can I take? I know fentenall (not sure on correct spelling) was used while at hospital and also for knee surgery worked is it not available in an oral form?

  78. Hi Jackie. Yes, I have heard others report similar reactions to withdrawal from tramadol. Tramadol is a synthetic 4-phenyl-piperidine analogue of codeine. If you’re having trouble during withdrawal, be sure to consult your prescribing doctor to see if there are other pharmaceutical medications which can help ease symptoms.

  79. Tramadol is vey addicting it seems that the withdrawl is even worse than Methadone, what is in this drug that makes coming off it so hard?

  80. High Courtney. Tramadol is less addictive than other prescription pain killing medications, but becomes more addictive when you take tramadol to get high. While you can develop a physical dependence on tramadol over time, a mental element of craving needs to be present in order to be really “addicted” to any drug. So as long as you are taking tramadol as prescribed, addiction is less likely to occur.

    Doctors start prescribing tramadol at a smaller initial dose of 100 mg per day. Once tolerance builds, safe doses of tramadol may be as high as 450 mg a day. However, this determination is made by the prescribing doctor, and may change over time as tolerance to effects of tramadol builds.

  81. I was on Tramadol for a short period of time and found that it didn’t do much for my osteoarthritis or degenerative disc disease but am now finding that it did more than the current med the MD prescribed for me. I think I may ask my MD if I can go back on it. What is the likelihood of getting addicted to it? If it is likely, I don’t want it. What is an average dose?

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