According to Wikipedia, which is, admittedly, not the end all of information but sometimes a nice start:
"Unlike most other opioids, Tramadol is not considered a controlled substance in many countries (the U.S., Canada and Australia, among others), and is available with a normal prescription. Tramadol is also available over-the-counter without prescription in a few countries."
Also: "There is an increased risk of serotonin syndrome when tramadol is taken in combination with serotonin reuptake inhibitors (e.g. SSRIs)," however, as I recall, you aren't taking any SSRIs...
It appears from the article that dependence is rare but does occur. Medline says, "Tramadol can be habit-forming. Do not take a larger dose, take it more often, or take it for a longer period of time than prescribed by your doctor. Call your doctor if you find that you want to take extra medication or if you notice any other unusual changes in your behavior or mood." So maybe that's what she's on about?
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chickgonebad.insanejournal.com at 05:39pm on 2007-10-12
"Unlike most other opioids, Tramadol is not considered a controlled substance in many countries (the U.S., Canada and Australia, among others), and is available with a normal prescription. Tramadol is also available over-the-counter without prescription in a few countries."
Also: "There is an increased risk of serotonin syndrome when tramadol is taken in combination with serotonin reuptake inhibitors (e.g. SSRIs)," however, as I recall, you aren't taking any SSRIs...
It appears from the article that dependence is rare but does occur. Medline says, "Tramadol can be habit-forming. Do not take a larger dose, take it more often, or take it for a longer period of time than prescribed by your doctor. Call your doctor if you find that you want to take extra medication or if you notice any other unusual changes in your behavior or mood." So maybe that's what she's on about?