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Tramadol Hcl Er: US FDA label indications

US FDA labelNot medical advice

Label details

Brand name
Tramadol Hcl Er
Generic name
Tramadol Hcl
Manufacturer
DIRECT RX
Route
Oral
Product type
Human Prescription Drug
Substance
Tramadol Hydrochloride
Application number
ANDA200503

Indications and usage (label excerpt)

INDICATIONS & USAGE SECTION 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 SECTION 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, nalo…

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.

11 trials, recruiting first
PhaseCountries
Efficacy and Safety of Canadá Association in the Treatment of Chronic Pain
NCT05125978
WithdrawnPhase 2EMS2026-09
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
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
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 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

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