Share on Pinterest Side effects of tramadol include dizziness, nausea, and headaches. It belongs to the same schedule as Xanax, Soma, and Valium.ĭoctors should choose the lowest effective dosage for the shortest period and educate people on the possible risks of taking tramadol. The FDA classify tramadol as a schedule IV drug because of its potential for misuse and addiction. This is the same receptor that morphine binds to, but tramadol is not as strong as morphine its efficacy is “about one-tenth that of morphine.” Liver enzymes break down tramadol into another compound called O-desmethyltramadol, which binds to the opioid receptor. Tramadol helps relieve pain by decreasing the amount of these two compounds in brain cells. Tramadol acts on two compounds associated with the sensation of pain: serotonin and norepinephrine. The following table lists the available dosages of tramadol in milligrams (mg). Tramadol is also combined with acetaminophen in the drug Ultracet. They are available in the form of immediate and extended release tablets. Ultram and Ultram ER are the brand names of the drug tramadol.
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