![]() A new tramadol prescription is required after five refills or after six months. ![]() In terms of regulations, tramadol prescriptions in all 50 states may only be refilled up to five times within a six-month period after the date that the prescription was issued. Schedule IV drugs like tramadol have a medical purpose, a low potential for abuse and a low risk of dependence compared to other controlled substances. There are five schedules in this Act, with Schedule 1 being the most tightly regulated. ![]() Controlled substances are regulated by the government to prevent abuse and misuse and lower the risk of overdose.Ī synthetic opioid, tramadol is a Schedule IV drug according to the Controlled Substances Act. The painkiller tramadol is considered a narcotic (opioid) and a controlled substance by the U.S.
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