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This medicine, developed in Germany, is about 10% as effective as morphine in revieving pain. It acts as an analgesic and is marketed under the trade name Tramal.

A generic version is available, and a prescription is required in the United States. This medicine is generally well tolerated.

Indications and Dosage

Best pain management practice indicates that the dose be personalized according to patient need, using the smallest beneficial dose. Studies with tramadol have shown that starting at the lowest possible dose and working upward will result in increased tolerability.


Here’s a link to look at. As with all medications, use caution and get professional medical advice.