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Tramadol hydrochloride extended-release tablets: US FDA label indications

US FDA labelNot medical advice

The product name above is taken from the label's own indications text; the source record has no brand or generic name field.

Indications and usage (label excerpt)

INDICATIONS AND USAGE Tramadol hydrochloride extended-release tablets are indicated for the management of moderate to moderately severe chronic pain in adults who require around-the-clock treatment of their pain for an extended period of time.

Warnings (label excerpt)

WARNINGS Seizure Risk Seizures have been reported in patients receiving tramadol within the recommended dosage range. Spontaneous postmarketing reports indicate that seizure risk is increased with doses of tramadol above the recommended range. Concomitant use of tramadol increases the seizure risk in patients taking: • Selective serotonin re-uptake inhibitors (SSRI antidepressants or anorectics), • Tricyclic antidepressants (TCAs), and other tricyclic compounds (e.g., cyclobenzaprine, promethazine, etc.), or • Other opioids. Administration of tramadol may enhance the seizure risk in patients taking: • MAO inhibitors (see also WARNINGS - Use with MAO Inhibitors ), • Neuroleptics, or • Other drugs that reduce the seizure threshold. Risk of convulsions may also increase in patients with epilepsy, those with a history of seizures, or in patients with a recognized risk for seizure (such as head trauma, metabolic disorders, alcohol and drug withdrawal, CNS infections). In tramadol overdose, …

Excerpts are shortened. Read the full label, and ask a pharmacist or prescriber about any medicine. Full label on DailyMed(opens in a new tab) For products sold in Canada, see the Health Canada Drug Product Database(opens in a new tab).

Trials whose interventions mention this drug

Canadian trials first. A match on the drug name does not mean the trial studied this specific product.

29 trials, recruiting first
PhaseCountries
Erector Spinae Plane Block for Chronic Pain After Spinal Surgery
NCT07834502
Not yet recruitingNot applicableTurkey (Türkiye)Aydin Adnan Menderes University2026-10-01
Comparison of Two Postoperative Care Strategies After Breast Surgery
NCT07880223
Not yet recruitingNot applicableGreeceMoumtzidou Maria Aikaterini2026-10
EOIB for Laparoscopic Cholecystectomy
NCT06656299
RecruitingNot applicableTurkey (Türkiye)Sehit Prof. Dr. Ilhan Varank Sancaktepe Training and Research Hospital2024-10-30
NonNarcotic Pain Control in Percutaneous Needle Tenotomy of Elbow
NCT06373978
RecruitingPhase 4United StatesThe Cleveland Clinic2024-08-12
Efficacy and Safety of Canadá Association in the Treatment of Chronic Pain
NCT05125978
WithdrawnPhase 2EMS2026-09
Tapentadol vs Tramadol in Arthroscopic Rotator Cuff Repair
NCT07779473
Active, not recruitingGreeceUniversity of Thessaly2026-07-01
Tapentadol vs Tramadol in Total Knee Arthroplasty
NCT06269770
Unknown statusPhase 4GreeceUniversity of Thessaly2023-05-01
Tapentadol Versus Tramadol Analgesia Post Cardiac Surgery
NCT04718116
Unknown statusNot applicableGreeceAretaieion University Hospital2022-11-01
Efficacy of Duloxetine in Conjunction With Tramadol for Chronic Cancer Pain
NCT05311774
CompletedNot applicableEgyptAssiut University2022-04-01
Pain Multidisciplinar Intervention in Major Trauma Patients
NCT05355441
CompletedSpainNuria Llorach-Perucho2022-04-01
Effect of Tramadol Versus Morphine on PD1 and PD1-ligand in Patients With Chronic Cancer Pain
NCT04589494
Unknown statusPhase 2, Phase 3EgyptAssiut University2020-04-16
Study to Compare Gabapentin to Tramadol in Children With Chronic Neuropathic or Mixed Pain
NCT02722603
TerminatedPhase 3Germany, NetherlandsPharmaceutical Research Management srl2018-09-12
Radiofrequency Thoracic Sympathectomy for Chronic Postmastectomy Pain; Randomized Placebo Controlled Study
NCT03494426
CompletedNot applicableEgyptAssiut University2018-04-01
The Effect of Gabapentin Used as a Preemptive to the Emergence and Development Chronic Neuropathic Pain in Patients After Spinal Cord Trauma
NCT03255330
WithdrawnPhase 3CzechiaMasaryk University2017-10
A Phase 3 Study of Tanezumab for Chronic Low Back Pain
NCT02528253
CompletedPhase 3Canada, Denmark, France, Hungary...Pfizer2015-08-18
Does Duloxetine Reduce Chronic Pain After Total Knee Arthroplasty?
NCT02307305
Unknown statusPhase 2South KoreaHanyang University Seoul Hospital2014-08
An Efficacy and Safety Study of Extended Release (ER) Tramadol Hydrochloride (HCl)/Acetaminophen in Participants With Chronic Low-Back Pain
NCT01112267
CompletedPhase 3Janssen Korea, Ltd., Korea2009-05
An Efficacy and Safety Study of Acetaminophen Plus Tramadol Hydrochloride (JNS013) in Participants With Chronic Pain
NCT00736853
CompletedPhase 3JapanJanssen Pharmaceutical K.K.2008-06
A Long-term Efficacy and Safety Study of Tramadol Hydrochloride Plus Acetaminophen (JNS013) in Japanese Participants With Chronic Pain
NCT00736957
CompletedPhase 3JapanJanssen Pharmaceutical K.K.2008-05
A Six Week Study Of The Pain Relieving Effects Of Celecoxib 200 Mg Twice Daily Compared To Tramadol 50 Mg Four Times Daily In Patients With Chronic Low Back Pain
NCT00662558
CompletedPhase 3United StatesPfizer's Upjohn has merged with Mylan to form Viatris Inc.2008-01
Pain Study to See if Ultram ER Will Provide Relief to Subjects Whose Pain is Not Well Controlled by Narcotics
NCT00505531
TerminatedUnited StatesMassachusetts General Hospital2007-06
Norspan® Patches Versus Tramadol in Subjects With Chronic, Moderate to Severe Osteoarthritis Pain in the Hip Knee and/or Lumbar Spine
NCT00426647
CompletedPhase 4FinlandNorpharma A/S2007-02
Celebrex vs Tramadol in the Treatment of Chronic Lower Back Pain.
NCT00290901
CompletedPhase 4Puerto Rico, United StatesPfizer's Upjohn has merged with Mylan to form Viatris Inc.2006-03
A Study of Safety and Effectiveness of Ultracet in Patients With Chronic Cancer Pain
NCT01968018
CompletedPhase 4ThailandJanssen-Cilag Ltd.,Thailand2004-07
A Study Comparing the Effectiveness and Safety of Extended Release Tramadol HCl at 100 mg, 200 mg and 300 mg Doses to Placebo for the Treatment of Moderate to Severe Pain Due to Osteoarthritis (OA)
NCT00348452
CompletedPhase 3Bausch Health Americas, Inc.2002-09
A Study Comparing the Effectiveness and Safety of Varying Dose Strengths (100, 200, 300 and 400 mg) of Extended-release Tramadol HCl With Placebo for the Treatment of Osteoarthritis(OA) of the Knee and/or Hip
NCT00325858
CompletedPhase 3United StatesBausch Health Americas, Inc.2002-01
A Study Comparing the Effectiveness and Safety of Extended-release Tramadol Versus Placebo in the Treatment of Chronic Low Back Pain
NCT00347724
CompletedPhase 3Bausch Health Americas, Inc.2000-11
A Study Comparing the Effectiveness and Safety of Extended Release Tramadol Versus Placebo for the Treatment of Osteoarthritis (OA) of the Knee
NCT00348010
CompletedPhase 3Bausch Health Americas, Inc.2000-11
A One-year, Open-label Study to Assess the Safety and Effectiveness of Extended Release Tramadol HCl in the Treatment of Chronic, Non-malignant Pain.
NCT00347685
CompletedPhase 3United StatesBausch Health Americas, Inc.2000-10

Source: openFDA drug label (US FDA), snapshot October 2026. Not a Health Canada Product Monograph.