Tramadol is useful in relieving moderate to moderately severe pain. It helps manage severe pain enough to require an opioid analgesic and for which alternative treatments are inadequate. It is also available in injection along with oral tablets/ capsules and liquid. There is moderate evidence of its use as a second-line treatment for fibromyalgia as a secondary painkiller.

Tramadol is a medicine that works in the brain to change how your body responds to pain and how your body feels. It starts its work of relieving the pain within an hour when you take the immediate-release formulation within an hour. Its painkilling effects last about 6 hours.

You should avoid using it if you are allergic to Tramadol or if you have:

• Bowel or stomach obstruction (including paralytic ileus);

• Asthma (severe) or breathing problems;

• Used MAO inhibitors (include linezolid, methylene, isocarboxazid, blue injection, phenelzine, rasagiline, selegiline, and tranylcypromine); or

• Recently used sedatives, alcohol, narcotic medications, or tranquilizers