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Tramadol is a synthetic opiate. It is a controlled IV narcotic and has the tendency to be abused. It is considered a weak opiate but it can be abused just like other opiates and can be just as deadly. Those who are prescribed Tramadol should never be stop abruptly.
Tamadol is a crappy pain killer with tons of abuse potential. It is classified as a controlled substance, but is not considered a narcotic. ie, to prescribe it, I do not have to use my DEA #. Tramadol (Ultram, Tramal (see below)) is a centrally-acting analgesic, used for treating moderate to moderately severe pain.