In-game nicknames: 
United States

Traded as Ultram and Ultram ER, Tramadol is an efficient pain management medicine. It is similar to narcotic pain reliever belonging to the class of medicines called opioid analgesics and used in managing moderate to moderately severe pain caused due to several musculoskeletal conditions. It is available in two forms – plain and extended-release. The former is used for getting relief from pain for several hours while the latter is useful in keeping the pain off for around-the-clock. The exact mechanism of action is not known but it is believed that the medicine changes the transmission of pain signals from the affected area to the brain and helps in relieving pain. 

One must consume Tramadol 100mg pills as directed by a doctor. If taken for longer period of time, it may turn habit-forming causing severe side effects. Using the medicine for more than prescribed period of time makes you dependent on the medicine and it is pretty much difficult to quit the habit. However, one can be on the safer side by following precautions. 

Tramadol can be taken with or without meals. If you get stomach irritation after consuming the medicine, you must take with food. Never take the medicine with alcohol as this leads to serious side issues. It is beneficial to gulp down the pill with a large glass of water to prevent any health issues. Tell your health care professional if you are having health issues such as liver or kidney ailments before taking the medicine. Tell your doctor about the medications you are already be consuming to prevent drug interactions and ill effects that follow