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Pharmaranks rates Ultram 3.5/5 for recall safety — an independent score from its FDA recall history and its manufacturer's record. Ultram (Tramadol Hydrochloride) is an opioid agonist used to treat Pain.

Tramadol Hydrochloride · by Janssen Pharms

Available as a generic: Tramadol Hydrochloride

70/100Limited · 1 source

Based on 1 source · Recall-safety score from FDA recall history — this product's own recalls and its manufacturer's record. Not an efficacy or quality rating. methodology →

Rated against independent regulatory sources·Last updated August 20, 2026·How we rate
Verified againstopenFDANIH DailyMedRxClass

Key facts

Active ingredient
Tramadol Hydrochloride
Drug class
Opioid Agonist
Form
Tablet
Strength
Tramadol Hydrochloride 100MG **Federal Register Determination That Product was not Discontinued or Withdrawn for Safety or Effectiveness reasons** · Tramadol Hydrochloride 50MG **Federal Register Determination That Product was not Discontinued or Withdrawn for Safety or Effectiveness reasons**
Type
Prescription (Rx)
Brand or generic
Brand-name
May treat
pain
Manufacturer
Janssen Pharms
Half-life
about 6 hours (mean terminal elimination half-life of tramadol in healthy adults) (how long it stays in your system)
What the pharmacy pays
~$0.72 for 30 — not your price
FDA application
NDA020281
Availability
Discontinued (per FDA)

How long does Tramadol Hydrochloride stay in your body?

The elimination half-life of tramadol hydrochloride is about 6 hours (mean terminal elimination half-life of tramadol in healthy adults) — the time it takes the body to clear about half of it. As a rule of thumb, a medicine is mostly gone after roughly 4 to 5 half-lives, though this varies from person to person with age and kidney or liver function. Tramadol's main active metabolite, M1 (O-desmethyltramadol), has a slightly longer half-life (about 7.4 hours) and drives much of the opioid effect. The half-life is markedly prolonged in liver cirrhosis (about 13 hours for tramadol and 19 hours for M1) and is somewhat longer in adults over 75, so effects can last longer in these groups.

This is general information, not medical advice. It doesn’t tell you when a drug test would read negative (tests detect substances for different, often longer, windows) or when it’s safe to take another dose — ask your pharmacist or prescriber. Source: Tramadol Hydrochloride Tablet — DailyMed.

Drug class

How this class works, per Mu Receptors - StatPearls - NCBI Bookshelf.

May treat (source: NIH RxClass)

See how Ultram ranks — best-rated opioid agonist for:

Dosage forms

Tablet

The forms currently marketed in the U.S., per the FDA National Drug Code Directory.

Ways to save

Ask for the generic

Same active ingredient, far cheaper. Is there a generic? →

Request a 90-day supply

Bulk fills usually lower the per-dose price vs monthly refills.

Use copay cards

Manufacturer copay cards & patient-assistance programs — especially for brand drugs.

Compare alternatives

A same-class option may cost less. See alternatives →

Frequently asked questions

What does Ultram treat?
Ultram (Tramadol Hydrochloride) may be used to treat pain, based on NIH RxClass drug-classification data (conditions a drug may treat — not a verbatim copy of the FDA-approved label). This is general reference, not medical advice.
How does Ultram work?
Ultram is a opioid agonist. Opioid agonists bind opioid receptors (mainly mu receptors) on nerves in the brain and spinal cord, dampening the release of pain-signaling chemicals so fewer pain messages reach the brain, which relieves moderate to severe pain.
How is Ultram rated?
pharmaranks gives Ultram a composite score of 3.5 out of 5, currently based on 1 weighted source (FDA regulatory recall-safety data weighted highest). See our methodology at /how-we-rate.
How much does Ultram cost?
Nobody can tell you what you will pay — your price is set by your insurer's formulary, your deductible and the pharmacy's markup, and none of those are published. What IS published is what the pharmacy paid to acquire it: about $0.72 for 30, per the CMS NADAC survey. Treat that as the floor, not the quote — ask the pharmacist for the cash price as well as your copay, because for cheap generics the cash price often wins.
Is there a coupon or discount for Ultram?
pharmaranks is an independent ratings site, not a pharmacy — we don't issue coupons or sell Ultram. To pay less, ask your prescriber or pharmacist whether a generic equivalent exists, check the manufacturer's copay/savings card and patient-assistance program, and compare a pharmacy discount card against your insurance copay. Prices vary by pharmacy, insurance, and location, so always confirm at the counter. This is general reference, not medical or financial advice.
Who makes Ultram?
Ultram is marketed by Janssen Pharms. You can see Janssen Pharms's full profile, rating, and other products on pharmaranks.
Is Ultram a brand-name or generic drug?
Ultram is a brand-name product with the active ingredient Tramadol Hydrochloride. Lower-cost generic equivalents containing Tramadol Hydrochloride are available — ask your pharmacist.
Is Ultram available over the counter?
No. Ultram is a prescription (Rx) medication in the US — you need a prescription from a licensed clinician (in person or via telehealth); it isn't sold over the counter. For some conditions there are OTC alternatives — ask your pharmacist.
What forms does Ultram come in?
Ultram is currently marketed as tablet, per the FDA's National Drug Code Directory.
What class of drug is Ultram?
Ultram is classified as opioid agonist, per the FDA's Established Pharmacologic Class.
Is Ultram FDA-registered?
Ultram is on record with the U.S. FDA under application number NDA020281. You can verify this on its official FDA label.
Has Ultram been recalled by the FDA?
Ultram has no FDA recalls recorded under its own application in the openFDA enforcement database. Its recall-safety score reflects its manufacturer's overall recall record. This is general reference, not medical advice — check the FDA recall database for the latest alerts.
Is Ultram safe?
There's no single safe-or-not verdict. pharmaranks gives Ultram a recall-safety score of 70/100, based on its FDA recall history (no recalls under its own FDA application) — not an efficacy or side-effect rating. Review its FDA-label side effects and warnings before use, and always consult a licensed professional.

Information is sourced from public FDA regulatory data. Provided for general reference only — not medical advice. Always consult a licensed professional and the current prescribing information.

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