Tramadol for Pain Relief

Tramadol (Brand name Ultram) is an opioid-like pain reliever that treats moderate to severe pain. The reason I say ‘opioid-like’ is because it isn’t actually an opioid. Many misunderstand it. Tramadol is unique and a lot different than the others in the pain relief category. However, you do have to be aware if you are using Tramadol for pain relief. Even though it isn’t an opioid, Tramadol is still a prescription medication. Only if you buy Tramadol online, you can probably get it without a prescription, which we will discuss later.

How Does Tramadol Work?

Before we get into that, we need to understand the two basic types of pain relievers.

1. Non-Opioid Pain Relievers

These are the types you can buy over the counter (OTC) at any pharmacy. Non-opioid pain killers include Acetaminophen (Paracetamol, Tylenol), Ibuprofen (Advil), Aspirin, etc. Non-opioid pain killers work for low to moderate pain. They generally stop or partially block the brain from producing hormones. In some cases like Acetaminophen, it increases the pain threshold of our brain and therefore, increases the tolerance for pain.

However, there is a limit to what they can do. If the pain is severe and acute, Acetaminophen can no longer help push the threshold beyond its limits. Non-opioid pain relievers can, however, be used with other opioids depending on the patient’s condition.

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2. Opioid Pain Relievers

Opioids are derived from Opium, a plant that has been used for pain relief for at least a few thousand years. Opioid pain relievers work in a slightly different way. They don’t block the brain from producing pain hormones. Instead, they alter the way our brain perceives pain. That’s the reason opioids are much more effective pain killers. How so?

Pain is simply an indication that a certain part of our body is damaged or injured. When the pain hormones are released, our brain, in response, starts the procedures to repair the damage. Blocking the pain hormones (like non-opioids) actually slows down the healing process. If the brain doesn’t get signals from the pain hormones, it doesn’t immediately get to repair the damages.

On the other hand, Opioids do a different thing. They allow the pain hormones to flow, but change the brain’s perception that ‘It hurts‘. That way, the brain still gets to repair the damage while not actually FEELING the pain. That’s why after a major surgery or a severe injury, you can only use opioids such as Oxycontin, Morphine, etc.

The only downside to opioids is that they prevent the brain from feeling the pain by inducing a certain level of numbness or ‘high’. That’s why opioids can be addictive and are considered controlled substances in most countries in the world. You would definitely need a prescription to buy an opioid pain reliever.

Tramadol for Pain Relief

As mentioned earlier, Tramadol or Ultram is opioid-like. It is not directly derived from the opium plant, is somewhat synthetic, but works the same way as an opiate (by inducing numbness).

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After taking Tramadol, you may feel high or sleepy. Tramadol also slows down the heart rate (like other opioids) and induces sleep. This sleep is necessary as we all know that sleep is when our brain performs its best repair work.

Tramadol Dosages

It comes in two dosages- Tramadol 50mg and 100mg. However, it doesn’t matter which one you take. In the cases of severe surgical pain or joint pains, the total dosages per day are fixed.

  • Average adults: 300 mg a day and in severe cases 400 mg is the maximum limit.
  • Patients Over 65 years: 250 mg a day and in severe cases 300 mg is the maximum limit.
  • Age 12-18: 250 mg a day and in severe cases 300 mg is the maximum limit.

Where to buy Tramadol online?

Tramadol or Ultram is a prescription medication. It was not so until 2014 as it is not technically an opioid. However, the addiction and abuse potential is real so in 2014 FDA declared it a Schedule IV controlled substance. That means it has medical use and low addiction potential, unlike Morphine and Oxycontin which are Schedule II (Has medical use and high addiction potential).

You can still buy Tramadol online without a prescription from a reliable online pharmacy. Most online pharmacies are located outside the USA or the UK. That’s why they can ship Tramadol to you without any problems. The trick is to find a trusted online pharmacy. You can check our list of the 5 Best Online Pharmacies in the world.

Order Tramadol Online

What are Tramadol Side-effects?

All medications come with some side-effects, and Tramadol is no different. However, it is one of the safest medications out there. Tramadol is generally prescribed for about 10-15 days. In the beginning, there may be some discomforts. Your doctor will tell you all about it, but just in case you have purchased Tramadol online without a prescription, we’ll list a few here. Initial and minor side-effects usually go away after 2-3 days of use.

Minor Tramdol Side-Effects:

  • Drowsiness
  • Sleepiness
  • Blur vision
  • Dry mouth
  • Lack of coordination
  • Lightheadedness
  • Nausea

Severe Side-Effects:

These happen if a patient uses Tramadol for a long time (3 Months or more). Consult your doctor immediately or seek social help if you notice these things:

  • Serious irritation
  • Anxiety attacks
  • Chronic or acute headaches
  • Loss of vision
  • Loss of muscles and bone mass (rapid weight loss)
  • Unable to move (Certain limbs)
  • Addiction
  • Withdrawal symptoms like diarrhea
  • Muscle spasms
  • Severe dehydration

Is it Safe to Order Tramadol Online?

The short answer is yes. You can buy Tramadol online safely if you have a reliable online pharmacy. Check out our list of online pharmacies that you can trust. They will make sure that the medications get to your doorstep in discreet packaging. That way, you will stay safe even if you order Tramadol from the USA & UK.

Tramadol FAQ

Following is an FAQ section where you can find answers to most of your questions about Tramadol HCL.

What is Tramadol hcl?

Tramadol hcl or Tramadol Hydrochloride is a synthetic pain medication that has a similar chemical structure as an opioid pain reliever. Don’t let the technical term ‘hcl’ (Hydrochloride). It is simply a kind of salt that is used with many medications. So, for example, Tramadol 50mg and Tramadol hcl 50mg are essentially the same thing.

What is Ultram?

Ultram is the brand name of Tramadol. It is manufactured by Janssen Pharmaceuticals. Just like Tramadol generic, Ultram can be found in 50mg and 100mg dosages.

What is Tramadol used for?

A variety of pains. Tramadol is, in a way, the ultimate pain reliever. As mentioned earlier, it is a pain reliever that can handle severe pain without the addiction issues of an opioid. Tramadol actually heals pain. Due to its middle position between an opioid and non-opioid following are the cases where you can use it safely.

  • Headache
  • Migraine
  • Toothache
  • Abdominal pain (Ulcer, women’s period)
  • Fracture
  • Joint pain
  • Back pain
  • Neck pain
  • Surgical pain
  • Severe injuries
  • Muscle pain (various reasons)
  • Cuts and bruises
  • Urinary tract infection (UTI)
  • Gout

Is Tramadol an Opioid?

Not in a technical sense. Other opioids may be addictive. That’s why most opioids like oxycodone, hydrocodone, and morphine are considered Schedule II controlled substances (High potential for abuse and addiction). Tramadol is only a Schedule IV (Low potential for abuse and addiction). Only in the USA and the UK, is it sold with prescriptions. In many other countries, it is an OCT (Over the counter) medication and you can buy Tramadol without prescriptions. Until 2014, Tramadol was also an OTC medication in the USA.

Does Tramadol Help You Sleep?

It may. It does have some opioid characteristics so the patient may fall asleep. It all depends on the severity of the pain and the dosage taken.

Is Tramadol better than Ibuprofen?

In many ways. yes. However, it all depends on what kind of pain you are dealing with. Ibuprofen (Advil) is like aspirin. It is a blood thinner and a pain blocker. For example, you are having some abdominal pain due to your monthly period. You only need to block the pain for a few days until it’s over. Therefore, Ibuprofen is fine.

On the other hand, if your abdominal pain is due to ulcer, it may be dangerous. Ibuprofen may cause internal bleeding. Tramadol is much better in that case. As far as cuts and bleeding are concerned, Tramadol is way better than Ibuprofen, Aspirin, or Acetaminophen.

Is Tramadol good for join pain?

Yes, it is. Joint pains are a Tramadol specialty. Tramadol will also help heal the cause of the pain.

Is it possible to use Tramadol for dogs?

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Yes, many veterinarians frequently use Tramadol for dogs. Dongs tend to injure themselves on their legs (Hairline fractures). If you see your dog limping, get to the vet and he/she will prescribe Tramadol 50mg in most cases.

Is Tramadol Stronger than Codeine?

They are somewhat of equal strength. As I mentioned earlier, it depends on the dosages. Yet, Codeine is an opioid and a narcotic. Tramadol is not.

Is Tramadol narcotic?

Technically no. Yet, it possesses some qualities of narcotic products such as alteration of the mind. That is why Tramadol is considered a narcotic in the USA and the UK.

How do we grade Tramadol vs Oxycodone?

Oxycontin is a serious opioid. There is no doubt about it. And if a patient uses Oxycodone for more than 15 days, there is a 90% chance that he/she may get addicted to it.

Tramadol, on the other hand, is not an opioid and a patient may use it for a long time or on a ‘need to use’ basis. However, unlike non-opioids, Tramadol can handle severe pain.

Generally, if a person has undergone a major surgery, doctors prescribe medications this way. First, morphine drips for the first 2-3 days (Intravenously). Then, when the patient is able to eat by mouth, Oxycodone for a week or Tramadol for a month. as you can see, Tramadol can be immediately prescribed right after the patient comes out of morphine.


Your doctor or pharmacist will tell you everything you need to know before you start taking Tramadol. However, those who have chosen to buy Tramadol online and don’t have the prescription should know these few things:

  • Tramadol is opioid-like: After taking it, you will feel certain high, numb, and sleepy. Do not operate heavy machinery or drive under the influence. Make sure you have a resting place.
  • Tramadol slows heart rate: Just like other opioids, Tramadol can slow down your heart rates so never exceed your recommended dose limits (400 mg per day for adults). Overdose may totally stop your heart. That’s also the reason you should not take Tramadol with other substances such as alcohol or marijuana.
  • Tramadol may be addictive: This study is not yet conclusive. However, seeing how Tramadol is similar to opioids, using it for a long time can cause dependency and addiction. Check or review with your doctor if you have a history of substance abuse.
  • Tramadol passes through breast milk: It passes through breast milk so mothers with infants should be really careful. The same goes for pregnant women. Definitely consult a doctor if you are a mother.
  • Ordering Tramadol online: Make sure the pharmacy is reliable and has discreet shipping. If not, you may get in trouble with your local law enforcement if you have purchased Tramadol online without a valid prescription.

Please leave us a comment if you have more questions regarding Tramadol and its use.

Thomas Hardman (Pharmacologist)

Thomas Hardman is a renowned pharmacologist. He graduated in M.A. Pharmacology from the Johannes Gutenberg University of Mainz. He held chief researcher position in Bayer, and Genzen Inc.

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