Tramadol is a non-narcotic opioid analgesic that is used to treat moderate to severe pain. Tramadol is prescribed for a wide range of other ailments though, such as treatment for fibromyalgia and restless leg syndrome. It is used in a similar fashion as codeine is, and can effectively treat most types of neuralgia. Some doctors also use the drug as a way to treat depression and anxiety, as it works on the serotonergic system and the noradrenergic system, working similarly to Effexor.

Tramadol is available in many forms, including extended release tablets and in an injectable form. Tramadol can be found in the form of capsules, tablets, suppositories, powders, and liquids. The most commonly used form of tramadol is a 50 milligram tablet.

Because tramadol is similar to so many narcotic pain medications, feelings of euphoria, a sense of well being, or a "high" is often experienced by some users. Because of this, many people are using tramadol in a recreational setting. Unlike many other pain medications that are similar in use and effect, tramadol is not currently a controlled substance in the United States, making it easier to obtain and use as an illicit street drug.

Tramadol has been used largely as a 'street' drug, and is often available at a much cheaper rate than what other pain medications are sold for in the United States. In many other countries, it is actually possible walk into a pharmacy and buy the drug without a prescription. The Gaza Strip has seen recreational use of tramadol become quite a social problem, and the Hamas government has even attempted to completely cut off the country from receiving the drug. In April of 2010, the government burned two million tablets that were attempting to be smuggled into the country and sold on the streets for recreational use.

Recreational use of this drug can be very dangerous, not only producing dependence and a consequential physical withdrawal that is similar to heroin withdrawal, but also carries a very high risk of causing convulsions at higher dosages. It can also cause nausea and dizziness if a monitored titration schedule is not followed.

If someone ingests too much tramadol and is not under the supervision of a doctor, they should immediately go to the nearest emergency room or contact the poison control center. Recreational use of tramadol can lead to coma and in the worst cases, death.