Tramadol is the generic version of Ultram which is a synthetic pain medication with properties that have been known to react similarly to that of morphine. Tramadol is an opiate; therefore it affects the opioid receptors in the brain which are responsible for pain management. Tramadol can be extremely safe if it is taken correctly, for short durations of time, and is monitored by a physician. Normally, Tramadol is prescribed for moderate to severe pain but Tramadol is not as strong as Vicodin or Oxycontins. Because Tramadol is an opiate antagonist its primary job is to alter the way that the body reacts to pain.