Tramadol treats acute or chronic pain and works on the same opioid receptors as hydrocodone, oxycodone and Fentanyl. Additionally Tramadol boasts some of the same activities as the SSRI class of antidepressants including Celexa, Lexapro, Zoloft and Paxil.

Initially authorities ignored the potential for abuse and addiction associated with the drug. It seems less toxic when administered as an intramuscular injection than when taken as a pill. The body metabolizes these forms quite differently. Originally not listed as a controlled substance, Tramadol was upgraded to a Schedule IV drug in 2014.

Worldwide Tramadol appears to be a major cause of abuse. Widespread addiction exists throughout Africa and the Middle East. Side effects of the drug not only include those customarily associated with opioids, but additionally it may lead to problems associated with the SSRIs.

Both an immediate and extended release form are available. The immediate release form is reasonably priced while the cost for the longer acting form varies between $125 and $270 a month for the generic version.

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