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May 14, 2013 · Tramadol is a modestly effective analgesic. Canadian guidelines suggest tramadol or codeine as the first-line agent for mild to moderate pain. 2 Tramadol has been shown to be modestly effective for osteoarthritis-related pain in placebo-controlled trials. 3 In patients with neuropathic pain, tramadol’s efficacy is comparable to that of gabapentin, tricyclic antidepressants and carbamazepine. 4
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Tramadol is a narcotic-like painkiller, a centrally acting synthetic opioid analgesic. So it's no surprise that tramadol (common brands include: Ultram, Ultram ER, Ultracet, ConZip, Ryzolt), was also found to be linked with drug abuse, addiction, and overdose in a 2015 report.. To address these concerns, the DEA placed all forms of tramadol into schedule IV of the Controlled Substances Act (CSA).
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