Tramadol (sold in the U.S. as Ultram, in Canada as Zydol, and in the U.S. in combination with Tylenol/acetaminophen as Ultracet) actually is not a narcotic in and of itself. Tramadol is a opiate agonist and a central nervous system agent. This means that it acts on the same areas of the body (the same cellular receptors) as opiates (such as morphine and codiene, which are narcotics). As a result, tramadol has some of the same affects as morphine (such as pain reduction), but is less sedating and is less likely to slow your breathing and your bowels as morphine would. Because of its ability to reduce pain in a manner similar to narcotics, tramadol is also classified as a narcotic analgesic. Although has recently been shown to have the potential to be addictive, unlike narcotics it is not scheduled as a controlled substance by the U.S. FDA.

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