Is Tramadol stronger than codeine? Tramadol vs Codeine

What is Tramadol?

Tramadol (Ultram) is an opioid pain medication, used for the management of pain in adults when other pain treatments such as non-opioid pain medicines do not treat the pain well enough. It is a strong prescription drug and can put you at risk for overdose and death. Take Tramadol dose exactly as prescribed by your healthcare provider.

What is Codeine?

Codeine is an opioid analgesic indicated for the relief of mild to moderately severe pain. It works by changing the way the brain and nervous system respond to pain. Codeine is also available in combination with aspirin, Carisoprodol, and ibuprofen which may give greater benefits. It comes in three different formulations, a tablet, a capsule, and a solution. Codeine tablets are usually taken every 4 to 6 hours as needed. Do not take more than your prescribed codeine dose.

Tramadol vs Codeine

Tramadol and codeine have more similarities than differences. Both are opioids and used to treat moderate pain, and are about equally potent, but less potent than other opioids. The major difference between the two is that Codeine is derived from the poppy plant whereas tramadol is a synthesized opioid, made in a lab. Both the drugs have common side effects including sedation, constipation, and dizziness. Even if they have similar interactions, for example, if taken with alcohol it can lead to a more profound central nervous system depression and can slow your breathing to a dangerous or deadly level. Both are considered benign pain relievers, especially compared to other opioids, as long as they are taken as instructed.


  • Close monitoring and regular checkups are necessary, especially within the first 24 to 72 hours of treatment to make sure the medicine is working properly. A blood test can be of great help to check for unwanted effects.
  • Never take Tramadol and codeine together, this may cause a serious interaction to occur between the two opioids and can lead to fatal effects.
  • Alcohol or medicine that is a CNS depressant should be avoided as it may worsen the side effects of the medicine, such as dizziness, poor concentration, drowsiness, unusual dreams, and trouble with sleeping.
  • If you have sleep apnea then your doctor may adjust your dose because the medicine can cause sleep-related breathing problems.
  • Using Tramadol or codeine during pregnancy may cause neonatal withdrawal syndrome in your newborn baby. Inform your doctor if you are pregnant or planning to become pregnant so that he can prescribe you an alternate or adjust your dose.
  • Do not use this medicine in children younger than 12 years of age.
  • Check with your doctor if you are breastfeeding your child.

Where can you buy Tramadol online?

Tramadol can easily be available in any online store. All you need is a valid prescription to buy Tramadol 100mg online. Being a controlled substance, you cannot purchase Tramadol without a prescription. If you Tramadol 225mg online COD then you have an option to pay for your order later at the time of delivery. It is considered the safest option when you buy your medicines online.

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