This inflammation triggers pain signals that are transmitted to the brain via nerves. Ibuprofen is typically used to treat mild to moderate pain and inflammation. Buprenex is a potent analgesic that should be only used to treat moderate to severe pain under strict conditions when other analgesics have proved inadequate. Tramadol is often prescribed for the treatment of moderate to severe pain, such as pain caused by surgery, injury, or chronic conditions like arthritis. Tramadol is a pain medication that can cause side effects like nausea, constipation, dizziness, and drowsiness. Alcohol can increase the nervous system side effects of chlophedianol such as dizziness, drowsiness, and difficulty concentrating. Alcohol can increase the nervous system side effects of cannabis (Schedule I substance) such as dizziness, drowsiness, and difficulty concentrating. Erythromycin may increase the blood levels and effects of traMADol. This is especially important for elderly patients, who may be more sensitive to the effects of pain medicines. If a CYP3A4 inhibitor is discontinued, consider increasing the ULTRAM dosage until stable drug effects are achieved and follow patients for signs and symptoms of opioid withdrawal. Key takeaways: Tramadol (Ultram, ConZip, Qdolo) is an opioid medication used to treat pain. However, there are several differences between tramadol and gabapentin that should be considered when deciding which medication to use for pain management. I have been drug free to maybe about a month ago taking 50 mg of tramadol every 6 hours it absolutely does nothing for my pain. Adults (17 years or older): 50 to 100 mg orally every 4 to 6 hours as needed for pain. The choice between oxy and tramadol will depend on a number of factors, including the severity of the pain and the patient's individual response to each drug. How does tramadol injection work? Tramadol has a moderate risk of addiction and dependence. Warnings Tramadol has a risk for abuse and addiction, which can lead to overdose and death.