Tramadol Prescribing Policy

Our practice is committed to supporting patients to manage pain safely and effectively. Tramadol is a strong painkiller (opioid medicine). While it can be helpful for short-term pain, research has now shown that long-term use is often associated with significant risks, including dependence, withdrawal symptoms, falls, drowsiness, memory problems, and other side effects. In many people with persistent pain, tramadol becomes less effective over time while the risks increase. 

For this reason, we are actively supporting patients who take tramadol to review their medication and, where appropriate, gradually reduce their dose, stop tramadol safely, or consider alternative treatments that may be safer and more effective. Any changes will be made in partnership with you and at a pace that is appropriate for your individual circumstances

Please note: Patients who chose to register with the practice whilst taking tramadol will not have tramadol added to their repeat prescription. Instead, a clinician will review the medication and work with the patient to develop a plan to either:

• Gradually reduce and stop tramadol safely, or
• Move to a safer alternative where clinically appropriate.

We understand that changes to long-term medication can be worrying and will provide support throughout this process.

For more information about pain management and reducing opioid medicines, please visit the Live Well with Pain resources website: https://livewellwithpain.co.uk/resources-for-people-with-pain/ten-footsteps-to-living-well-with-pain/pain-and-the-brain/