What is Tramadol?

Category: Prescription Drugs

Most popular types: Ultram Tramadol ER Ultram ER Show all

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See also: Tramadol-acetaminophen

Tramadol is an opioid analgesic used for the relief of moderate to moderately-severe pain. Extended release formulations are used for patients requiring around-the-clock management of moderate to moderately-severe pain for an extended period of time.

Reported purpose & perceived effectiveness
Purpose Patients Evaluations Perceived Effectiveness
Pain 2,297 991
Fibromyalgia 1,352 601
Muscle pain 574 228
Back pain 56 23
Pain in lower back 54 56

Show all 288 reasons taken


  • Major
  • Moderate
  • Slight
  • None
  • Can't tell

Side effects

Side effects as an overall problem

Side effects as an overall problem
Severity Evaluations
Severe 131
Moderate 253
Mild 460
None 766

Commonly reported side effects and conditions associated with Tramadol

Side effect Patients
Constipation 87
Drowsiness 78
Nausea 77
Dry mouth 58
Dizziness 50
Fatigue 43

Show all 281 reported side effects

Dosages

Based on patients currently taking Tramadol

Dosage Patients
50mg as needed 110
50 mg daily 47
50 mg three times daily 43
50 mg twice daily 38
50 mg four times daily 33
100 mg three times daily 28
100 mg daily 25
2 50mg as needed 19
100 mg twice daily 16
300 mg daily 16

See all 76 dosages

Why patients stopped taking Tramadol

Multiple reasons could be selected

Reason Patients
Did not seem to work 381
Side effects too severe 233
Doctor's advice 207
Other 162
Course of treatment ended 88
Personal research 32
Expense 23
Change in health plan coverage 22
See all 885 patients who've stopped taking Tramadol

Duration

Currently taking Tramadol

Duration Patients
Less than 1 month 2
1 - 6 months 25
6 months - 1 year 26
1 - 2 years 62
2 - 5 years 163
5 - 10 years 159
10 years or more 77

Stopped taking Tramadol

Duration Patients
Less than 1 month 181
1 - 6 months 240
6 months - 1 year 137
1 - 2 years 125
2 - 5 years 147
5 - 10 years 59
10 years or more 15
Adherence
Adherence Evaluations
Always 1057
Usually 331
Sometimes 172
Never taken as prescribed 50
Burden
Burden Evaluations
Very hard to take 59
Somewhat hard to take 103
A little hard to take 192
Not at all hard to take 1256
Cost per month
Cost per month Evaluations
$200+ 11
$100-199 16
$50-99 22
$25-49 66
< $25 869
Not specified 626

What people switch to and from

Patients started taking Tramadol after stopping:

Treatment Patients
Hydrocodone-Acetaminophen (Norco) 55
Codeine-acetaminophen (paracetamol) (Tylenol with Codeine #3) 16
Gabapentin (Neurontin) 15
Pregabalin (Lyrica) 14
Ibuprofen Prescription (Motrin Prescription) 12

Show all 52 treatments patients report switching from

Patients stopped taking Tramadol and switched to:

Treatment Patients
Hydrocodone-Acetaminophen (Norco) 43
Oxycodone-acetaminophen (Percocet) 11
Pregabalin (Lyrica) 9
Oxycodone (Oxycodone IR) 8
Codeine-acetaminophen (paracetamol) (Tylenol with Codeine #3) 7

Show all 49 treatments patients report switching to

Last updated:

148 patient evaluations for Tramadol

Feb 6, 2011 (Started Aug 12, 2009)

  • Effectiveness
    Major (for restless feeling in legs)
  • Side effects
    Moderate (excessive sweating)
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: As needed
Cost: < $25 monthly
Side effects: excessive sweating, excessive sweating

Jan 10, 2011 (Started Aug 12, 2009)

  • Effectiveness
    Major (for restless feeling in legs)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 25 mg Daily
Advice & Tips: Still taking 1/2 tramadol tablet at night, with my Mirapex, still sleeping through the night. It's soooo wonderful! Here's some info for taking tramadol for RLS, in case it helps anyone: http://www.mayoclinicproceedings.com/content/79/7/916.full.pdf
Cost: < $25 monthly
Side effects: excessive sweating, excessive sweating

Jan 5, 2011 (Started Aug 12, 2009)

  • Effectiveness
    Major (for restless feeling in legs)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    A little hard to take
Dosage: 25 mg Daily
Advice & Tips: I started taking half a tablet of tramadol again, after I finally stopped taking it, in a desperate attempt to control my RLS symptoms which were being aggravated by the SNRI was on. I requested Mirapex from my doc and, after increasing the dose with no results and facing my 7th night of hardly any sleep, I read online that tramadol is sometimes used for hard-to-treat RLS symptoms. I tried taking it about 4:30 AM the first time and it worked! The next night (early morning), I tried again and it worked! The third night I took it at bedtime along with my Mirapex and I slept straight through the night for the first time in forever. I have an almost-full bottle of tramadol left which should keep me for awhile, and hopefully my RLS will have settled down to the point where the Mirapex alone will be able to control it. I know my doc doesn't like me taking tramadol along with a SNRI.
Cost: < $25 monthly
Side effects: excessive sweating, excessive sweating

Dec 16, 2010 (Started Aug 12, 2009)

  • Effectiveness
    Major (for fatigue)
  • Effectiveness
    Moderate (for breakthrough pain)
  • Side effects
    Mild (excessive sweating)
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 25 mg Daily
Advice & Tips: TFor general malaise and fatigue it worked wonderfully. For moderately severe pain, which is what it's designed for, well... it made you too loopy to care about your pain, so I guess it worked! A friend of mine was on it for upper back pain and he kept upping his dosage until he was up to 12 a day. We joked about how much it made us sweat. Then he scared himself and got off of it, and kept chugging along, refusing to let myself take more than 3 or 4 a day, and never taking more than 2 at a time. 2 tablets at once was enough to get me really woozy and itchy under my skin. It started becoming clear to me that I wasn't really taking the tramadol for the pain relief, which wasn't really that great. I was taking it for the energy boost. I started researching how it has SSRI properties, which got me researching antidepressants. I didn't feel depressed, but I started looking at the chemical makeup of the new SNRIs for fibromyalgia like Cymbalta and Pristiq. I decided to try Savella instead and weaned off the tramadol as I started titering up on the new drug. My dosage was pretty low but it was prolonged (daily for over a year). I think I had about 1 1/2 days of withdrawal symptoms, which happened to come on during a cold, so I was more miserable then I would have been otherwise. I also have had a fierce resurgence in restless leg symptoms, which tramadol used to take care of.
Cost: < $25 monthly
Side effects: excessive sweating, excessive sweating

Sep 9, 2010 (Started Aug 12, 2009)

  • Effectiveness
    Major (for fatigue)
  • Effectiveness
    Moderate (for breakthrough pain)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 100 mg Daily
Cost: < $25 monthly
Side effects: excessive sweating, excessive sweating

Apr 20, 2010 (Started Aug 12, 2009)

  • Effectiveness
    Slight (for Pain)
  • Effectiveness
    Major (for fatigue)
  • Side effects
    Mild (excessive sweating)
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 150 mg Daily
Cost: < $25 monthly
Side effects: excessive sweating, excessive sweating

  • 4 helpful marks

Mar 8, 2012 (Started Jan 12, 2012)

  • Effectiveness
    Major (for fibromyalgia)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 200 mg Daily
Advice & Tips: Manages all but the most severe flare, for me. No noticeable side effects.
Cost: < $25 monthly

  • 1 helpful mark

Oct 28, 2012 (Started Dec 01, 2009)

  • Effectiveness
    Major (for Pain)
  • Side effects
    Moderate (constipation, itchy skin, insomnia, mood swings)
  • Adherence
    Usually
  • Burden
    Not at all hard to take
Dosage: As needed
Advice & Tips: Positive benefit included being able to function seemingly well on Tramadol. I could drive to school, sit attentively through classes, and felt a burst of energy after the pain subsided. I am now relying only on Vicodin for pain, but I am not sure how long that will last.

Apr 19, 2012 (Started Dec 01, 2009)

  • Effectiveness
    Moderate (for Pain)
  • Side effects
    Mild (constipation, itchy skin, insomnia, mood swings)
  • Adherence
    Usually
  • Burden
    Not at all hard to take
Dosage: As needed
Advice & Tips: I have found that this painkiller is much better than Vicodin. I am able to study, go to class, drive, and continue my daily activities while taking Tramadol without feeling "loopy" or necessarily "high." If it were not for Tramadol, I would never have been able to get through a dual Master's degree. With that said, the downfalls of this drug is severe constipation and inability to urinate (I would have the urge, but then when I try to relieve myself, nothing comes). These symptoms are not too tough to deal with though - and they probably kept me from overusing or ever abusing Tramadol.

  • 1 helpful mark
Last updated:
Showing 3 of 148 patient evaluations for Tramadol