Tramadol is an opioid painkiller Tramadol is an opioid painkiller Tramadol is an opioid painkiller Tramadol is an opioid painkiller Tramadol is an opioid painkiller Tramadol is an opioid painkiller Tramadol is an opioid painkiller Tramadol is an opioid painkiller Tramadol is an opioid painkiller Tramadol is an opioid painkiller Tramadol is an opioid painkiller Tramadol is an opioid painkiller Tramadol is an opioid painkiller Tramadol is an opioid painkiller Tramadol Tramadol is an opioid painkiller Tramadol is an opioid painkiller Tramadol is an opioid painkiller Tramadol is an opioid painkiller Tramadol is an opioid painkiller Tramadol is an opioid painkiller