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Tramadol is a synthetic opiate. It is a controlled IV narcotic and has the tendency to be abused. It is considered a weak opiate but it can be abused just like other opiates and can be just as deadly. Those who are prescribed Tramadol should never be stop abruptly.
While Tramadol may be considered a safer alternative to stronger, narcotic painkillers, dependence and addiction to the drug can occur. While classified as a non-narcotic, Tramadol is, indeed, a narcotic. And, it shares many of the side-effects seen in narcotic drugs, like heroin.