Tramadol is an innovative and atypical analgesic. It is a centrally acting drug which is used for treatment to moderate acute pain. Tramadol is a synthetic agent, 4-phenyl-piperidine analogue of codeine. It has actions on the GABAergic, noradrenergic and serotonergic systems. This drug was made by a German pharmaceutical company and was marketed under the name Tramal. Later this drug to many other companies around the world, was the IT markets licensed under different names. This drug is normally sold or marketed under the name hydrochloride salt or tramadol hydrochloride. Tramadol is an injection and oral medication formulations. Tramadol is not a controlled drug in most countries and can easily be purchased through normal prescription.