Tramadol (or Ultram) chiefly belongs to the medicamentous class of opioid analgesics. The main indications of this officinal preparation is relieving of various painful syndromes especially the pains which accompany such negative conditions and illnesses as arthrosis, juvenile arthritis, myalgia, rheumatoid arthritis, arthralgia, rheumatism, podagra, osteoarthrosis, neuropathic pains, osteoarthritis, nerve pains, postoperational periods’ aches, neuralgias, chronic and sharp pains, and so on. Tramadol medicine is used in starting dosing as 50mg. Then the daily dosages are increased till 100mg (400mg maximum in a day). It is followed to remember that Tramadol side effects aren’t practically appeared under this medicament’s right employing. This medical agent isn’t taken together with tricyclic antidepressants, barbiturates, other pain0killers, Morphine, Ethanol and especially MAO inhibitors.