[DanBC]

> If there is a precursor to an American-style opioid epidemic in India, it is tramadol, a painkiller that became available here in the early 1990s. Drugmakers — often citing studies they had funded — touted tramadol as less addictive than other painkillers.

> “Tramadol information would come to every single clinician,” said Dr. Bobby John, a Delhi-based health expert. “Why? Because there is some drug salesperson sitting outside your door saying, ‘Hey, there’s a new drug. It’s non-addictive.’ Standard playbook.”

It's really important that people have easy access to opioids at the end of their life.

Tramadol is a terrible medication and is almost always the wrong choice of med.

https://emcrit.org/toxhound/tramadont/

[C1sc0cat]

I have taken it in Hospital (UK) after a major opp (25 plus staples in the main wound site) and stopped after a day or so as it was making me vomit.

[AstralStorm]

Well, it's good for a third line painkiller, after NSAIDs and codeine and oxycodone are not enough. And something like levetiracetam or pregabalin or other SNRI is not appropriate.

But calling it non-addictive is criminal. It should be, at least. This thing very much is.