Buy Tramadol Online is a narcotic pain reliever that helps to cure, manage and treat moderate to severe pain. It is an opioid pain relief drug also available in a combination (acetaminophen/paracetamol). Ultram is the brand name of this medication that is also sold under the generic name Tramadol. The drug's effect starts within one hour, and the active duration is three to four hours. This medication is an opioid or narcotic analgesic; it is available in extended-release (ER) pills and immediate-release forms. This medication's extended-release (ER) form controls pain around the clock. This type of medicine is not intended to be used on an as-needed basis for pain relief.