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Medically reviewed on Jul 6, by L. Tramadol is a centrally-acting, oral narcotic-like analgesic and is approved for the treatment of moderate to moderately severe pain in adults. The extended-release form of tramadol is for around-the-clock treatment of pain and not for use on an as-needed basis for pain. A combination product of tramadol and acetaminophen Ultracet is also available by prescription. In , over 43 million tramadol prescriptions were written in the U. S, according to IMS. In , tramadol was originally approved by the U. However, since , changes to the controlled substance status of tramadol have been made due to reports of drug abuse and diversion. On July 7, the U.

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