The naturally occurring opiates (plant alkaloids derived from the opium poppy) as well as synthetic (man-made) and semisynthetic opioids are considered to be narcotic drugs, which include both legally prescribed and illicit varieties. Medical uses Intravenous and intrathecal. Intravenous fentanyl is often used for anaesthesia and analgesia. During anaesthesia it is often used along with a hypnotic agent like propofol. Ultram (tramadol hydrochloride) tablets are an opioid agonist. The chemical name for tramadol hydrochloride is (±) cis-2-[(dimethylamino)methyl]-1-(3-methoxyphenyl) cyclohexanol hydrochloride. Tramadol is used primarily to treat mild to severe pain, both acute and chronic. Its analgesic effects take about one hour to come into effect and 2 to 4 h to peak after oral administration with an immediate-release formulation. Is Your Medication Making You Sweat? — 10 Drugs That Cause Excessive Sweating as a Side Effect Tramadol is the generic name for a prescription pain reliever sold under the brand names Ultram, Conzip, Rybix ODT, and Ultram ER. Doctors prescribe tramadol to treat moderate to severe pain in. Man-made drugs that mimic the effects of natural opioids (such as opium or heroin). Most synthetic opioids are class A drugs which means they're illegal to have for yourself, give away or sell. Learn about Ultram (Tramadol Hcl) may treat, uses, dosage, side effects, drug interactions, warnings, patient labeling, reviews, and related medications. Blood tests. While there is no lab test to confirm a diagnosis of fibromyalgia, your doctor may want to rule out other conditions that may have similar symptoms. Ultram ER is indicated for the management of pain severe enough to require daily, around-the-clock, long-term opioid treatment and for which alternative treatment options are inadequate.