Narcotic It can treat moderate to severe pain. Controlled substance High risk for addiction and dependence. Can cause respiratory distress and death when taken in high doses or when combined with other substances, especially alcohol. Brands: ConZip and Ultram Availability: Prescription needed Pregnancy: Consult a doctor Alcohol: Avoid. Very serious interactions can occur Drug class: Pain reliever Tramadol is a narcotic-like pain reliever. Tramadol is used to treat moderate to severe pain in adults. The extended-release form of tramadol is for around-the-clock treatment of pain. The extended-release form of tramadol is not for use on an as-needed basis for pain.