Tramadol is used to relieve moderate to moderately severe pain, including pain after surgery. It is also used to treat pain severe enough to require opioid treatment and when other pain medicines did not work well enough or cannot be tolerated.

Tramadol 50 mg may be adequate as the initial dose for moderate pain. For moderate to severe pain, 50 - 100 mg as needed for relief, every four to six hours may be administered.

Yes, tramadol is considered a strong painkiller, classified for moderate to severe pain.

Tramadol starts working relatively quickly, with standard tablets providing relief in 30 to 60 minutes, peaking around 2 to 4 hours, and lasting about 4 to 6 hours.

The most common side effects of tramadol include nausea, dizziness, constipation, drowsiness, headache, dry mouth, and sweating.