Buy Tramadol Online
Tramadol
Tramadol is a prescription-only pain relief medicine used for moderate to moderately severe pain.
- Starts working in 30–60 minutes.
- Lasts for around 4–6 hours (extended-release versions last longer).
- Effective for both short-term and chronic pain conditions.
- In stock
- from £16.99
Product Detail
Tramadol is often prescribed when regular painkillers are not strong enough. It is used after surgery, for injuries, arthritis, or nerve pain. You can take it as an immediate-release tablet (works within an hour and lasts for 4–6 hours) or as an extended-release tablet (taken once or twice a day for long-term pain relief).
Tramadol is the generic form of several branded painkillers and contains the same active ingredient, tramadol hydrochloride. The generic version is usually more affordable while working in the exact same way as branded options.
You can only get Tramadol with a prescription. After a short consultation with one of our doctors, we can prescribe it if suitable. Your medicine will be delivered discreetly to your door or made available for collection at a nearby pharmacy.
If you’re looking for a trusted and effective prescription treatment for moderate to severe pain, Tramadol could be the right choice for you.
How It Works
1. Complete a Questionnaire
Fill out a quick online form about your health and request erectile dysfunction treatment.
2. Doctor Review
A qualified doctor reviews your answers and approves treatment if it’s suitable for you.
3. Delivery or Collection
Choose fast home delivery (1–3 days) or collect from a Superdrug store within 2–3 hours of approval.
What is Tramadol?
Tramadol is a prescription-only pain relief medicine that contains the active ingredient tramadol hydrochloride. It works by changing the way your brain and nervous system respond to pain signals, helping to reduce moderate to moderately severe pain.
Tramadol comes in different forms, including tablets, capsules, and injections. It is usually taken by mouth, with or without food, depending on your doctor’s advice. When you start Tramadol, your doctor will normally prescribe the lowest effective dose, which may be adjusted gradually based on your level of pain and how your body responds.
How Does Tramadol Work?
Tramadol works differently from standard painkillers like paracetamol or ibuprofen because it acts on both the nervous system and the brain’s chemical balance. The active ingredient, tramadol hydrochloride, is an opioid pain reliever. It works by binding to specific opioid receptors in the brain and spinal cord, which helps block pain signals from being transmitted through the nervous system. In addition, Tramadol increases the levels of two important brain chemicals, serotonin and norepinephrine, which also play a role in how pain is processed and how the body perceives discomfort. By combining these two actions, Tramadol can provide stronger and more effective relief from moderate to severe pain.
Unlike common over-the-counter painkillers, Tramadol is only available on prescription because of its strength and the risk of dependence. It is not designed to remove pain completely but to make it more manageable so that you can carry on with daily life.
How long does Tramadol last?
The effects of Tramadol usually last between four and six hours when taken in its standard immediate-release form. This means it is often prescribed several times a day depending on the level of pain and the individual’s needs. For people who need ongoing pain relief throughout the day and night, extended-release versions of Tramadol are available. These tablets are taken once or twice daily and release the medicine gradually into the bloodstream, offering smoother and longer-lasting pain control.
It’s important to remember that Tramadol doesn’t cure the source of the pain but helps to control it while your body recovers or as part of long-term pain management. Because of the way it works, your doctor will usually recommend the lowest effective dose for the shortest possible time to reduce the risk of dependence or side effects.
How long does Tramadol take to work?
When you take an immediate-release Tramadol tablet, it usually starts to work within 30 to 60 minutes, with peak effects felt at around two hours after swallowing the dose. For many patients, this is enough to bring noticeable relief for pain that hasn’t responded well to ordinary painkillers. Extended-release tablets, however, take longer to build up in the body and may take a day or two of regular use before you feel the full benefit, but they offer steadier control of pain throughout the day.
You should always swallow Tramadol tablets whole with water, and never crush or chew them, as this can change the way the medicine is absorbed and increase the risk of dangerous side effects. If you’re unsure which version of Tramadol is most suitable for you—whether immediate-release for quick relief or extended-release for ongoing management—your doctor will guide you based on your pain condition and medical history.
How effective is Tramadol?
Clinical studies and patient reports show that Tramadol is an effective treatment for moderate to severe pain, particularly when other painkillers like paracetamol or ibuprofen are not strong enough. Many patients notice significant improvements in their ability to move, sleep, and carry out daily activities while using Tramadol as prescribed. It has been shown to be particularly helpful in managing nerve-related pain and post-surgical pain, where standard anti-inflammatory medicines often fall short.
Effectiveness, however, can vary from person to person. Some individuals may find Tramadol provides strong and reliable pain relief, while others may experience only mild improvement or encounter side effects that make it unsuitable. Doctors often start patients on lower doses to see how well they respond before adjusting the prescription. Overall, Tramadol remains one of the most commonly prescribed pain medicines worldwide for moderate to severe pain, thanks to its proven ability to ease discomfort and improve quality of life when used correctly.
How to Take Tramadol
To use Tramadol safely, you should swallow the tablet whole with a glass of water. Standard immediate-release Tramadol usually comes in doses of 50mg and can be taken every 4 to 6 hours as needed for pain. Extended-release tablets, which are designed for long-term pain control, are taken once or twice a day at the same time each day. You should never crush, chew, or split the tablets because this changes the way the medicine is released and can cause dangerous side effects.
For best results, Tramadol should be taken exactly as prescribed by your doctor. Do not take more than the recommended dose and avoid combining it with alcohol or sedating medicines unless your doctor has advised you, as this increases the risk of serious side effects such as drowsiness, slowed breathing, or even overdose.
Tramadol works best when taken consistently and according to the dosing schedule your doctor gives you. It is not an over-the-counter painkiller, so you should always use it under medical supervision.
How often to take Tramadol
There are different ways to take Tramadol depending on whether you need quick relief or long-term pain management:
- Immediate-release Tramadol (50mg tablets): Usually taken every 4 to 6 hours when needed for pain. You must not exceed the maximum daily dose your doctor prescribes, which is generally no more than 400mg in 24 hours.
- Extended-release Tramadol (100mg, 200mg, or 300mg): Taken once or twice a day for continuous pain relief. These tablets should be taken at the same time every day to keep a steady level of medicine in your body.
You should never take more than your prescribed amount, as increasing your dose without guidance does not improve pain relief but instead raises the risk of serious side effects and dependence. If you feel your current dose is not controlling your pain, speak to your doctor instead of adjusting it yourself.
Tramadol Dosage
There are two main forms of Tramadol: immediate-release tablets for quick pain relief and extended-release tablets for long-term, ongoing pain management. The dose that is right for you depends on the type of pain you have, how severe it is, and how your body responds to the medicine. Tramadol is only available on prescription, and you should never change your dose without guidance from your doctor.
If you are unsure about which dose is suitable for you, always speak with a healthcare professional before starting, adjusting, or switching your medication.
Immediate-release dosages:
Tramadol 50mg
This is the most common starting dose for adults and is usually taken every 4 to 6 hours when needed for pain. It works relatively quickly and is often prescribed after surgery, injury, or for sudden flare-ups of pain. The total daily dose should not exceed 400mg in 24 hours unless your doctor advises otherwise.
Tramadol 100mg
In some cases, higher doses may be prescribed when pain is not controlled by 50mg tablets. This dose is usually given under closer medical supervision because higher amounts increase the risk of side effects such as dizziness, nausea, or drowsiness.
Extended-release dosages:
Tramadol 100mg (ER)
Extended-release tablets release the medicine slowly throughout the day, making them useful for long-term, chronic pain conditions. These are usually taken once a day, at the same time each day, and must be swallowed whole.
Tramadol 200mg–300mg (ER)
For severe ongoing pain, higher extended-release doses may be prescribed. These tablets provide steady pain relief for 24 hours but also carry a greater risk of side effects and dependency. Doctors typically prescribe the lowest effective dose for the shortest possible time to reduce risks.
Where Can I Buy Tramadol Online?
Yes. You can request Tramadol from genuine online pharmacy services such as Teladoc Online Doctor by following these simple steps:
- Complete a short medical questionnaire about your health and pain symptoms.
- Request and pay for treatment through the secure online platform.
- Doctor review – one of our registered doctors will check your questionnaire and approve treatment if it is suitable for you.
- Delivery or collection – your medicine will be delivered discreetly to your address, or you can collect it from a genuine partner pharmacy.
If your request is not approved, you will be notified in your account and your payment will be refunded. With trusted services like Teladoc Online Doctor, there are no face-to-face appointments, only safe online consultations and discreet delivery from genuine US pharmacies.
Can I buy tramadol over the counter?
No, tramadol is not available to buy over the counter. It is a strong opioid painkiller and is classed as a controlled medicine because of the risks of dependence, misuse, and side effects. This means you must have a prescription from a qualified doctor to get tramadol, and it should only be used under close medical supervision. Any website or seller offering tramadol without a prescription should be avoided, as these sources are often unsafe, unregulated, or even illegal. If you think tramadol may be suitable for your pain, you will need to speak with a doctor who can assess your condition and decide if it’s the right option for you.
Can I get tramadol on the NHS?
Yes, tramadol is available on the NHS but only when a doctor considers it the right treatment for your pain. It may be prescribed if other pain relief medicines, such as paracetamol, ibuprofen, or codeine, are not effective enough. Doctors on the NHS will usually only recommend tramadol for moderate to severe pain and typically for short-term use. You may be offered it in tablet, capsule, or liquid form depending on your needs. If you think you might need tramadol, speak with your GP, who can review your medical history and prescribe it if appropriate.
Side Effects of Tramadol
Like all prescription medications, Tramadol can cause side effects, though not everyone will experience them.
Very common side effects:
- Nausea (feeling sick)
- Dizziness
- Headache
- Constipation
- Drowsiness or fatigue
- Dry mouth
Common side effects:
- Excessive sweating
- Vomiting
- Stomach pain or indigestion
- Diarrhea
- Loss of appetite
- Confusion or feeling lightheaded
- Mood changes (such as anxiety, low mood, or restlessness)
- Itching or skin rash
- Trouble sleeping
- Blurred vision
Uncommon side effects:
- Rapid or irregular heartbeat
- Shaking (tremors)
- Changes in blood pressure
- Difficulty urinating
- Allergic skin reactions (hives, swelling)
- Mood or behavior changes, including hallucinations
- Seizures (more likely at high doses or if you have a seizure disorder)
- Low sodium levels in the blood (may cause confusion, tiredness, or muscle weakness)
Rare but serious side effects:
- Slow or shallow breathing
- Fainting or loss of consciousness
- Severe allergic reaction (swelling of the face, lips, or throat; trouble breathing)
- Serotonin syndrome (symptoms may include agitation, fever, rapid heartbeat, muscle stiffness, or confusion)
- Ongoing or repeated seizures
How Long Do Side Effects Last?
Mild effects like nausea, dizziness, or constipation often improve within a few days to a week as your body adjusts to Tramadol. However, some side effects—such as drowsiness or constipation—may continue if you take it regularly.
What to Do If You Have Side Effects
- Mild side effects can often be managed by drinking water, eating smaller meals, getting rest, or using simple remedies (such as fiber for constipation).
- Avoid driving or operating heavy machinery if you feel drowsy, dizzy, or have blurred vision.
- Contact your doctor right away if side effects do not improve or begin to interfere with daily life.
Get Emergency Help
Call 1-800-487-4889 or go to the nearest emergency room immediately if you experience:
- Trouble breathing or swallowing
- Swelling of the face, lips, mouth, or throat
- Seizures
- Fainting or loss of consciousness
- A sudden, severe allergic reaction
- Very slow or shallow breathing
Expert Advice for Tramadol
- Take Tramadol exactly at the dose and frequency prescribed by your doctor. Do not take more than recommended.
- Swallow the tablets whole with water. Do not crush, chew, or break them, as this may release too much medicine at once.
- It usually works within 30–60 minutes. Take it at the same times each day if prescribed regularly.
- Tramadol may cause drowsiness, dizziness, or blurred vision. Do not drive, operate machinery, or do anything requiring focus until you know how it affects you.
- Avoid drinking alcohol while on Tramadol, as it can increase sleepiness, dizziness, and risk of serious breathing problems.
- Tell your doctor if you develop slow or shallow breathing, confusion, fainting, or seizures while taking Tramadol.
- Do not stop taking Tramadol suddenly if you have been using it for a long time, as it may cause withdrawal symptoms (restlessness, sweating, nausea, trouble sleeping). Your doctor will guide you on how to taper off safely.
- Inform your doctor about any other medicines you are taking, especially antidepressants, sleeping pills, or painkillers, as combining them with Tramadol can be dangerous.
- Take extra care if you have a history of seizures, breathing problems, liver or kidney disease, or substance abuse.
- Tramadol is prescribed for moderate to moderately severe pain and should only be used for the duration recommended by your doctor. Long-term use may increase the risk of dependence.
Tramadol alternatives
There are several different pain relief options available, so if Tramadol is not suitable for you, there are plenty of alternatives depending on your type of pain, its severity, and your medical history. Your doctor will usually recommend the safest and most effective option based on your condition.
Codeine is a prescription-only opioid painkiller that works in a similar way to Tramadol, but it is generally considered to be weaker. It is often combined with paracetamol in medicines like co-codamol. Codeine can be useful for moderate pain, but like Tramadol, it carries a risk of dependence if used long term.
Morphine is a stronger opioid that is usually prescribed when Tramadol or codeine are not strong enough to control pain. It comes in immediate-release and slow-release forms and is often used for severe or long-term pain. Because of its strength, morphine is carefully monitored and usually only prescribed when other options are not effective.
Oxycodone is another opioid painkiller that is stronger than Tramadol and often used for severe pain or pain related to cancer. Like Tramadol, it works on opioid receptors in the brain and spinal cord but is generally reserved for cases where other treatments are not enough. It is only available on prescription and requires close medical supervision.
Paracetamol is a widely used over-the-counter painkiller. It is not as strong as Tramadol, but it can be effective for mild to moderate pain and has fewer risks compared to opioids. It is often recommended as the first step before moving to stronger medicines like Tramadol or codeine.
Ibuprofen is a non-steroidal anti-inflammatory drug (NSAID). It works differently from Tramadol by reducing inflammation as well as easing pain. It is particularly helpful for pain caused by swelling, injuries, or arthritis. While it is available over the counter, long-term use should be monitored due to potential side effects like stomach irritation or increased blood pressure.
Naproxen is another NSAID that works in a similar way to ibuprofen but usually lasts longer. It is often prescribed for arthritis, back pain, and joint pain. Like other NSAIDs, it helps reduce inflammation and swelling, making it a useful non-opioid alternative to Tramadol.
Amitriptyline is an antidepressant that is sometimes prescribed at low doses to help with certain types of nerve pain. While it is not a traditional painkiller, it works by altering how the nervous system processes pain signals. It can be an alternative for patients who cannot take opioids or who have chronic nerve-related pain.
Duloxetine is another antidepressant used for nerve pain and conditions such as fibromyalgia. It helps rebalance chemicals in the brain that affect pain perception. While not an opioid like Tramadol, it can be effective for people with long-term pain conditions.
Gabapentin is a prescription medicine used to treat nerve pain and seizures. It works by calming overactive nerve signals in the brain and spinal cord. For people with conditions like sciatica, shingles pain, or nerve-related back pain, Gabapentin can be a safer alternative to opioids like Tramadol.
If medication is not the best route for you, there are non-drug treatments that can sometimes help manage pain. Physical therapy, heat or cold packs, acupuncture, and relaxation techniques are commonly recommended. In some cases, a combination of lower-strength painkillers and lifestyle changes can reduce the need for stronger medicines like Tramadol.
Still uncertain about which pain treatment might be most suitable for you? Speak with your doctor or pharmacist, and they will be able to guide you towards the safest and most effective option.
Codeine is a prescription-only opioid painkiller that works in a similar way to Tramadol, but it is generally considered to be weaker. It is often combined with paracetamol in medicines like co-codamol. Codeine can be useful for moderate pain, but like Tramadol, it carries a risk of dependence if used long term.
Morphine is a stronger opioid that is usually prescribed when Tramadol or codeine are not strong enough to control pain. It comes in immediate-release and slow-release forms and is often used for severe or long-term pain. Because of its strength, morphine is carefully monitored and usually only prescribed when other options are not effective.
Oxycodone is another opioid painkiller that is stronger than Tramadol and often used for severe pain or pain related to cancer. Like Tramadol, it works on opioid receptors in the brain and spinal cord but is generally reserved for cases where other treatments are not enough. It is only available on prescription and requires close medical supervision.
Paracetamol is a widely used over-the-counter painkiller. It is not as strong as Tramadol, but it can be effective for mild to moderate pain and has fewer risks compared to opioids. It is often recommended as the first step before moving to stronger medicines like Tramadol or codeine.
Ibuprofen is a non-steroidal anti-inflammatory drug (NSAID). It works differently from Tramadol by reducing inflammation as well as easing pain. It is particularly helpful for pain caused by swelling, injuries, or arthritis. While it is available over the counter, long-term use should be monitored due to potential side effects like stomach irritation or increased blood pressure.
Naproxen is another NSAID that works in a similar way to ibuprofen but usually lasts longer. It is often prescribed for arthritis, back pain, and joint pain. Like other NSAIDs, it helps reduce inflammation and swelling, making it a useful non-opioid alternative to Tramadol.
Amitriptyline is an antidepressant that is sometimes prescribed at low doses to help with certain types of nerve pain. While it is not a traditional painkiller, it works by altering how the nervous system processes pain signals. It can be an alternative for patients who cannot take opioids or who have chronic nerve-related pain.
Duloxetine is another antidepressant used for nerve pain and conditions such as fibromyalgia. It helps rebalance chemicals in the brain that affect pain perception. While not an opioid like Tramadol, it can be effective for people with long-term pain conditions.
Gabapentin is a prescription medicine used to treat nerve pain and seizures. It works by calming overactive nerve signals in the brain and spinal cord. For people with conditions like sciatica, shingles pain, or nerve-related back pain, Gabapentin can be a safer alternative to opioids like Tramadol.
If medication is not the best route for you, there are non-drug treatments that can sometimes help manage pain. Physical therapy, heat or cold packs, acupuncture, and relaxation techniques are commonly recommended. In some cases, a combination of lower-strength painkillers and lifestyle changes can reduce the need for stronger medicines like Tramadol.
Still uncertain about which pain treatment might be most suitable for you? Speak with your doctor or pharmacist, and they will be able to guide you towards the safest and most effective option.
FAQ - Tramadol
Q. I have been prescribed Tramadol for pain. When will I start feeling better?
Tramadol usually starts working within 30 to 60 minutes after taking it, and the pain relief may last for several hours. Some people may feel better quickly, while others may need a few doses to notice improvement. Always take it exactly as your doctor prescribed.
Q. Can Tramadol cause weight gain?
Weight gain is not a common side effect of Tramadol. However, some people may experience changes in appetite or activity level due to drowsiness, which can indirectly lead to weight changes. If you notice sudden weight gain, consult your doctor.
Q. For how long do I need to take Tramadol?
The duration of Tramadol use depends on the type and severity of pain. It is generally prescribed for short-term use because of the risk of dependence. If you need it for longer periods, your doctor will monitor you closely.
Q. What are the serious side effects of Tramadol?
Tramadol may cause serious side effects, such as shallow or slow breathing, confusion, seizures, severe allergic reactions (swelling of face, lips, throat), and serotonin syndrome (restlessness, fever, fast heartbeat). Seek immediate medical help if you experience any of these.
Q. Is Tramadol habit-forming?
Yes. Tramadol can cause dependence and addiction if not taken as prescribed. Follow your doctor’s instructions carefully and never take more than the recommended dose.
Q. Can I take Tramadol only when my pain gets worse?
No. Tramadol should be taken exactly as prescribed. Skipping doses or taking it irregularly may reduce its effectiveness and increase risks. Do not stop suddenly without medical advice, as it can cause withdrawal symptoms.
Q. What happens if someone takes more than the recommended dose of Tramadol?
An overdose of Tramadol can be very dangerous. Symptoms may include extreme drowsiness, slow or stopped breathing, seizures, fainting, or even coma. Call emergency services or go to the nearest hospital immediately if an overdose is suspected.
Q. What should I tell my doctor before taking Tramadol?
Inform your doctor if you are taking:
- Other painkillers, sleeping pills, or anxiety medicines (risk of breathing problems).
- Antidepressants or medicines for mental health (risk of serotonin syndrome).
- Blood thinners (like warfarin).
- Medicines for seizures.
Also, tell your doctor if you:
- Have a history of substance abuse.
- Have liver, kidney, or lung problems.
- Are pregnant or breastfeeding.
Sources
- NHS – Tramadol: Side effects, dosage, and precautions. https://www.nhs.uk/medicines/tramadol/ [Accessed 4th Sept 2025]
- Electronic Medicines Compendium (Tramadol Hydrochloride 50mg Capsules) https://www.medicines.org.uk/emc/product/2882/smpc#gref [Accessed 4th Sept 2025]
- Mayo Clinic – Tramadol (Oral Route) Proper Use. https://www.mayoclinic.org/drugs-supplements/tramadol-oral-route/proper-use/drg-20068050 [Accessed 4th Sept 2025]
- MedlinePlus – Tramadol: Drug Information. https://medlineplus.gov/druginfo/meds/a695011.html [Accessed 4th Sept 2025]
- Drugs.com – Tramadol Dosage Guide. https://www.drugs.com/dosage/tramadol.html [Accessed 4th Sept 2025]
- Healthline – Tramadol: Uses, Side Effects, and Dosage. https://www.healthline.com/health/tramadol-oral-capsule [Accessed 4th Sept 2025]
- ScienceDirect – Tramadol in Acute and Chronic Pain Management. https://www.sciencedirect.com/topics/neuroscience/tramadol [Accessed 4th Sept 2025]