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Is Tramadol an opioid: Understanding the classification and effects of Tramadol

Carli Simmonds, Author

Carli Simmonds

Is Tramadol an opioid: Understanding the classification and effects of Tramadol

Tramadol is a commonly prescribed medication used to treat moderate to severe pain. While tramadol is often referred to as an opioid, there is some debate about its classification. In this article, we will explore whether tramadol is an opioid, the effects of tramadol, and its potential for misuse and addiction.

What is Tramadol?

Tramadol is a synthetic opioid analgesic medication used to treat moderate to severe pain. It works by binding to opioid receptors in the brain and spinal cord, decreasing the sensation of pain. Tramadol is available in immediate-release and extended-release formulations and is often prescribed for conditions such as chronic pain, postoperative pain, and neuropathic pain.

Opioids: Brand Names & Generic Names

Is Tramadol an opioid?

Tramadol is often referred to as an opioid due to its mechanism of action and its effects on the body. However, the classification of tramadol as an opioid is somewhat controversial. While tramadol does bind to opioid receptors in the brain and spinal cord, it also inhibits the reuptake of serotonin and norepinephrine, which are neurotransmitters that play a role in pain perception.

Some experts argue that tramadol should be classified as a “centrally acting analgesic” rather than an opioid due to its unique mechanism of action. However, the U.S. Drug Enforcement Administration (DEA) currently classifies tramadol as a Schedule IV controlled substance, the same classification as drugs like Xanax and Valium.

Effects of Tramadol

Tramadol is a potent pain reliever and can be highly effective in treating moderate to severe pain. However, like other opioids, tramadol can cause a range of side effects, including:

  • Dizziness
  • Nausea
  • Vomiting
  • Constipation
  • Headache
  • Dry mouth
  • Sweating
  • Fatigue

Tramadol can also cause more serious side effects, such as seizures, serotonin syndrome, and respiratory depression.

Potential for misuse and addiction

Like other opioids, tramadol has the potential for misuse and addiction. Tramadol can cause feelings of euphoria and relaxation, which can lead some individuals to misuse the medication or use it recreationally.

The risk of addiction is higher in individuals who have a history of substance use disorder or who misuse tramadol or other opioids. Tramadol addiction and withdrawal can also be challenging and may cause symptoms such as anxiety, insomnia, nausea, and muscle aches.

Get the help you need for Tramadol addiction today

Tramadol is a powerful pain medication that can be highly effective in treating moderate to severe pain. While there is some debate about its classification as an opioid, tramadol can cause similar side effects and has the potential for misuse and addiction. It’s important to use tramadol only as prescribed and to talk to your doctor about any concerns or questions you may have about the medication. If you or someone you know is struggling with tramadol addiction, seek professional help to address the problem and achieve recovery. The team at Red Ribbon Recovery is here to help with a range of treatment programs. Contact us today to learn more.

Opioids: Brand Names & Generic Names

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About the content

Last updated on: Nov 27, 2025
Jodi Tarantino (LICSW)

Written by: Carli Simmonds. Carli Simmonds holds a Master of Arts in Community Health Psychology from Northeastern University. From a young age, she witnessed the challenges her community faced with substance abuse, addiction, and mental health challenges, inspiring her dedication to the field.

Jodi Tarantino (LICSW)

Medical reviewed by: Jodi Tarantino, LICSW. Jodi Tarantino is an experienced, licensed Independent Clinical Social Worker (LICSW) and Program Director with over 20 years of experience in Behavioral Healthcare. Also reviewed by the RRR Editorial team.

Red Ribbon Recovery is committed to delivering transparent, up-to-date, and medically accurate information. All content is carefully written and reviewed by experienced professionals to ensure clarity and reliability. During the editorial and medical review process, our team fact-checks information using reputable sources. Our goal is to create content that is informative, easy to understand and helpful to our visitors.

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