The pain reliever Tramadol has a narcotic-like appearance. Tramadol treats pain that ranges from moderate to severe. The extended-release version of tramadol is designed to provide constant pain relief. Order tramadol online of this kind shouldn’t be taken as needed to relieve pain. Tramadol has other applications that are not discussed in this medication reference. Important particulars Tramadol should not be taken when under the influence of alcohol, sedatives, tranquilizers, or narcotic substances within the previous few hours. Taking Tramadol might cause your breathing to slow or stop, especially when you first start taking it or when your dosage is changed.