The pain reliever tramadol (tramadol hydrochloride) acts like a narcotic, but its chemical composition is not like any narcotic drugs currently available. Tramadol is used for relief of moderate to severe pain causes by various medical conditions. Tramadol is distributed worldwide though various names, one of which is Ultram. Tramadol was created in German in the late 1970s. The true mechanics of this pain reliever are not fully understand, but important to understanding how it works. Tramadol must be fully metabolized by the human body so components of the drug can be broken down and become active in the bloodstream and effectively reduce pain.

Unlike other narcotics, such as morphine, tramadol can be separated by its function. Meaning the active components that make it work can be separated from other components that would normally cause side effects. This is why side effects, such as dependence, are not nearly as predominant in tramadol. The majority of the effects of this drug are specific to a certain receptor in the blood. Tramadol works via a combination of different mechanisms producing a power analgesia that ultimately relieves moderate/severe pain. Adding alcohol to the mix is not wise as it increases a secretion of a certain compound into the blood that raises extra-cellular levels of some neurotransmitters. The end result is a feeling of elation.

Tramadol should never be taken with alcohol. Those who have previously been addicted to controlled substances or alcohol should not take tramadol. Taking tramadol while intoxicated increases depressive effects of the drug on the body's central nervous system. In other words, brain function is inhibited and slowed down. General effects of tramadol and alcohol may be mild and harmless or may include the following:

• Dizziness
• Drowsiness
• Unusual behaviors
• Memory loss
• Seizures
• Lack of coordination
• Shallow/infrequent breathing
• Passing out/fainting

Tramadol is a prescription drug. The instructions must be followed closely. The temptation to test your tolerance to tramadol and alcohol should be avoided due to the risk of serious side effects. If alcohol is accidentally ingested while using tramadol it is important to contact your doctor or trusted health care professional immediately or go to an emergency room if side effects are noticed. See your doctor if you have more questions about tramadol and potential side effects or risks.