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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.
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 #. Mar 11, '10. Tramadol (Ultram, Tramal (see below)) is a centrally-acting analgesic, used for treating moderate to moderately severe pain.