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Each new bottle of this medicine. Tramadol can cause side effects that it has when compared to narcotics such as morphine and others. Ultram is a mild non narcotic pain reliever. There are many successful treatment of chronic pain including undiagnosed diseases or mental disorders. A mild non narcotic pain reliever. Primarily, Tramadol works by changing the way the body senses pain. If you are taking narcotic analgesics, or have a history of drug dependence, or are chronically using opioids, treatment with Ultram is not recommended. Talk with your doctor to evaluate the benefits of each arthritis pain relief medication, as many risks are associated with pain. Tramadol has quickly surpassed all other drugs for pain as the most prescribed pain relief.