Tramadol is definitely an opiate painkiller, which works be producing local inflammatory mediators. It does not work much the same way as accessible over-the-counter painkillers like aspirin or ibuprofen. Tramadol also acts entirely on your brain, modifying pain signals; therefore, the origin with the pain is unchanged, nevertheless the pain is not felt.
Do not prescribe tramadol for patients who may have depression, suicidal ideation, or addiction problems including patients with alcoholism. Consider usage of non-narcotic analgesics during these patients. Tramadol is an opioid agonist and so has abuse potential and risk of fatal overdose from respiratory failure. Addiction may occur in patients who obtain tramadol illicitly or perhaps those appropriately prescribed the drug. The probability of addiction in any individual is unknown. However, patients with mental illness (e.g., major depression) or a genealogy of substance abuse (including alcoholism) come with an increased likelihood of opioid abuse.