Tramadol Is Now a Scheduled Drug

Dr. Sharon Orrange
Dr. Orrange is an Associate Professor of Clinical Medicine in the Division of Geriatric, Hospitalist and General Internal Medicine at the Keck School of Medicine of USC.
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The Drug Enforcement Administration (DEA) has officially declared tramadol (Ultram) a Class IV substance. This new scheduling will go into effect August 18, 2014 and means you will need a triplicate prescription to get tramadol. A scheduled drug is one whose use and distribution is tightly monitored.

Tramadol is an opioid analgesic that was initially approved in 1995 under the brand name Ultram. Ultram also came mixed with Tylenol (acetaminophen) in the drug Ultracet. Tramadol binds to the mu opioid receptor and has been available without a triplicate prescription until now—but the decision has been made to make it a schedule IV drug.

Know that though this makes it a hassle to get, you can only fill thirty days at a time, and it requires a triplicate prescription from your physician, is was not given schedule II status which is where most other opioids are, like Oxycodone, etc.

Refilling your tramadol will now be more difficult than filling a regular prescription but probably the right thing to do.

Dr O.

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