In the US, Tramadol is frequently recommended as a therapy option in the middle for patients who require more than non-opioid drugs but less than strong narcotics. Although it can effectively manage pain, there are cautions because it still has the potential to be abused and still lead to physical dependence. Patients using Tramadol must strictly adhere to their doctor's instructions in order to prevent addiction and adverse effects like sleepiness, disorientation, or even convulsions.