Tramadol |
![]() Last updated: 12/09/2025 |
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(Not known by any other names) |
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A synthetic codine analogue used in veterinary medicine which is usually formulated as the hydrochloride salt. | |
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Used to control acute and chronic pain of moderate to severe intensity | |
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Dogs |
Approval status |
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Approved - usually supplied as a prescription only medicine to be authorised by a veterinarian (POM-V) | |
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Approved |
Chemical structure |
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Tramadol exhibits stereoisomerism, specifically enantiomerism, due to the presence of two chiral centres in its cyclohexanol structure. The marketed drug is a racemic mixture of (+)-cis-(1R,2R)-tramadol and (–)-cis-(1S,2S)-tramadol. The (–)-enantiomer is more active in norepinephrine reuptake inhibition than the (+)-enantiomer. In addition, tramadol is metabolised into O-desmethyltramadol, which itself has stereoisomers and is a much more potent mu-opioid agonist, further complicating its pharmacodynamics. | |
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C₁₆H₂₅NO₂ | |
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CN(C)CC1CCCCC1(C2=CC(=CC=C2)OC)O | |
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CN(C)C[C@H]1CCCC[C@@]1(C2=CC(=CC=C2)OC)O | |
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TVYLLZQTGLZFBW-ZBFHGGJFSA-N | |
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InChI=1S/C16H25NO2/c1-17(2)12-14-7-4-5-10-16(14,18)13-8-6-9-15(11-13)19-3/h6,8-9,11,14,18H,4-5,7,10,12H2,1-3H3/t14-,16+/m1/s1 | |
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Yes |
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Common Name | Relationship | Link |
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tramadol hydrochloride | Variant | ![]() |
General status |
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Medicinal drug: Analgesic | |
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Opoid | |
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Synthetic | |
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Multiple activity routes | |
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[µ-opioid receptor, Agonist], [Sodium-dependent noradrenaline transporter, Inhibitor], [Sodium-dependent serotonin transporter, Inhibitor], [5-hydroxytryptamine receptor 2C, Antagonist], [Kappa-type opioid receptor, Agonist], [Delta-type opioid receptor, Agonist] | |
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27203-92-5 | |
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248-319-6 | |
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Nervous system: Other opioids | |
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QN02AX02 | |
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UK: Class C, Schedule 3 | |
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263.38 | |
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2-((dimethylamino)methyl)-1-(3-methoxyphenyl)cyclohexanol | |
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(1R,2R)-2-((dimethylamino)methyl)-1-(3-methoxyphenyl)cyclohexan-1-ol | |
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(+/-)-cis-(2-dimethylaminomethyl)-1-(3-methoxyphenyl)-cyclohexanol | |
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Commercial |
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Current | |||
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1977, launched Germany; 1962, first synthesised | |||
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Usually supplied in tablet for oral administration. Human brands also used for animals, off-label | |||
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Tramadol is synthesised through a multi-step chemical process that begins with cyclohexanone as the core starting material. The first major step involves a Mannich reaction, where cyclohexanone reacts with dimethylamine and formaldehyde to introduce a dimethylaminomethyl group at the alpha position. This intermediate is then coupled with meta-methoxyphenyl magnesium bromide (a Grignard reagent), forming the key aryl-substituted cyclohexanol structure. The resulting mixture contains both cis and trans isomers, but the trans isomer (RR,SS) is pharmacologically active and is selectively converted into tramadol hydrochloride by reacting with hydrochloric acid in the presence of a small amount of water. Modern production methods often use continuous-flow synthesis to improve efficiency, safety, and scalability, allowing for precise control over reaction conditions and purification. | |||
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Published GHG data is not available for most pharmaceuticals. However, according to industry, global averages suggest producing 1 kg of a typical active pharmaceutical ingredient can range from 10 to 100 kg CO₂e for small molecule drugs and potentially up to 1000 kg CO₂e for complex biologicals such as vaccines, depending on the drug type, its formulation, complexity of synthesis, solvent recovery, and energy sources used. |
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39.5 | V3 V = ChemID Online Databases; Chemspider; PubChem. (ChemID ) 3 = Unverified data of known source |
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180 | V3 V = ChemID Online Databases; Chemspider; PubChem. (ChemID ) as the HCl salt3 = Unverified data of known source |
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2.24 X 1001 | Calculated | - | |||||||
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1.35 | F4 F = U.S. EPA ECOTOX database / U.S. EPA pesticide fate database / Miscellaneous WHO documents / FAO data, IPCS INCHEM data (US EPA Databases Related to Pesticide Risk Assessment ) 4 = Verified data |
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9.41 | F3 F = U.S. EPA ECOTOX database / U.S. EPA pesticide fate database / Miscellaneous WHO documents / FAO data, IPCS INCHEM data (US EPA Databases Related to Pesticide Risk Assessment ) 3 = Unverified data of known source |
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As this parameter is not normally measured directly, a surrogate measure is used: ‘Photochemical oxidative DT₅₀’. Where data is available, this can be found in the Fate Indices section below. | ||||||||||
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Fate indices |
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Known soil and groundwater metabolites |
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O-desmethyltramadol | - | Human liver | - | ||||
N-desmethyltramadol | - | Human liver | - | ||||
O-desmethyl-tramado glucuronide | - | Human liver | - | ||||
N,O-didesmethyltramadol | - | Human liver | - | ||||
N,N-didesmethyltramadol | - | Human liver | - | ||||
N,N,O-tridesmethyl-tramadol | - | Human liver | - | ||||
N,N,O-tridesmethyl-tramadol | - | Human liverl | - |
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Terrestrial ecotoxicology |
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350 | F4 F = U.S. EPA ECOTOX database / U.S. EPA pesticide fate database / Miscellaneous WHO documents / FAO data, IPCS INCHEM data (US EPA Databases Related to Pesticide Risk Assessment ) Mouse4 = Verified data |
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General |
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350 | F4 F = U.S. EPA ECOTOX database / U.S. EPA pesticide fate database / Miscellaneous WHO documents / FAO data, IPCS INCHEM data (US EPA Databases Related to Pesticide Risk Assessment ) Mouse4 = Verified data |
Moderate | ||||||||
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Intraperitoneal LD₅₀ = 150 mg kg⁻¹ | V3 V = ChemID Online Databases; Chemspider; PubChem. (ChemID ) Rat3 = Unverified data of known source |
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Subcutaneous LD₅₀ = 286 mg kg⁻¹ | V3 V = ChemID Online Databases; Chemspider; PubChem. (ChemID ) Rat3 = Unverified data of known source |
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Extensively metabolised in the liver (0% eliminated in the urine, 10% in faeces) | F4 F = U.S. EPA ECOTOX database / U.S. EPA pesticide fate database / Miscellaneous WHO documents / FAO data, IPCS INCHEM data (US EPA Databases Related to Pesticide Risk Assessment ) 4 = Verified data |
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Health issues |
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CNS depressant May depress respiratory function Some incidences of adverse reactions recorded including headache, diarrhoea, vomiting & cardiovascular irregularities |
Handling issues |
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Will emit toxic fumes when heated to decomposition | |||
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Not listed (Not listed) | |||
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tramadol | ||
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Record last updated: | 12/09/2025 |
Contact: | aeru@herts.ac.uk |
Please cite as: | Lewis, K.A., Tzilivakis, J., Warner, D. and Green, A. (2016) An international database for pesticide risk assessments and management. Human and Ecological Risk Assessment: An International Journal, 22(4), 1050-1064. DOI: 10.1080/10807039.2015.1133242 |