Reported Reactions

Drugs

Product name as reported

Tramadol Cr Tablets: adverse event reports filed with FDA

3,178 reports list it as a suspect or interacting product, 2007–2021.

3,178
reports as suspect product
0% of all reports · about 168 a year
0
reports, 12 months to June 2026
0 in the 12 months before
99.9%
marked serious by the reporter
57.4% across all reports
10.4%
record death among outcomes, as reported
331 reports · not verified by FDA

Between August 2007 and September 2021, 3,178 adverse event reports received by FDA list the product name "Tramadol Cr Tablets" as reporters wrote it as a suspect or interacting product. Reports that mention it only as a concomitant medication (1) are left out of every figure here.

In the 12 months to June 2026, 0 reports listed it, and none in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 168 reports a year and 0% of the 20,646,523 reports in the database. How many people take it is not in the data, so a count is not a rate of occurrence.

The reactions recorded most often are drug dependence (94.7%), overdose (37.3%) and developmental delay (19.2%). A report can list several reactions, so shares add to more than 100%; 490 different terms appear across these reports. Drug dependence is recorded in 94.7% of these reports, against 0.8% of all reports in the database.

99.9% of the reports are marked serious by the reporter; 10.4% record death among the outcomes and 7.5% record hospitalisation, as reported. 49.7% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (2.8%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

0148296Jul 2021: 33Aug 2021: 296Sep 2021: 71Oct 2021: 0Nov 2021: 0Dec 2021: 02022Jan 2022: 0Feb 2022: 0Mar 2022: 0Apr 2022: 0May 2022: 0Jun 2022: 0Jul 2022: 0Aug 2022: 0Sep 2022: 0Oct 2022: 0Nov 2022: 0Dec 2022: 02023Jan 2023: 0Feb 2023: 0Mar 2023: 0Apr 2023: 0May 2023: 0Jun 2023: 0Jul 2023: 0Aug 2023: 0Sep 2023: 0Oct 2023: 0Nov 2023: 0Dec 2023: 02024Jan 2024: 0Feb 2024: 0Mar 2024: 0Apr 2024: 0May 2024: 0Jun 2024: 0Jul 2024: 0Aug 2024: 0Sep 2024: 0Oct 2024: 0Nov 2024: 0Dec 2024: 02025Jan 2025: 0Feb 2025: 0Mar 2025: 0Apr 2025: 0May 2025: 0Jun 2025: 0Jul 2025: 0Aug 2025: 0Sep 2025: 0Oct 2025: 0Nov 2025: 0Dec 2025: 02026Jan 2026: 0Feb 2026: 0Mar 2026: 0Apr 2026: 0May 2026: 0Jun 2026: 0

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

01,2672,5332007: 120072015: 120152016: 120162017: 120172018: 120182019: 320192020: 63720202021: 2,5332021

Reactions recorded in the reports

share of Tramadol Cr Tablets reports recording the termall reports in the database

  1. Drug dependencedependence on a medicine94.7%3,008
  2. Overdosea dose above the recommended amount37.3%1,186
  3. Developmental delayslower development in a child19.2%611
  4. Foetal exposure during pregnancythe unborn baby was exposed to the medicine18.8%596
  5. Painpain, site not specified17.8%565
  6. Emotional distressemotional distress17%539
  7. Disability9.6%305
  8. Anxietyanxiety9%287
  9. Drug withdrawal syndromesymptoms on stopping a medicine8.6%272
  10. Depressionlow mood6.5%207
  11. Drug abusemisuse of a medicine5.3%168
  12. Deaththe patient died; cause not stated by this term4.9%156
  13. Injurya physical injury3.8%120
  14. Vision abnormal neonatal2.9%92
  15. Congenital anomalya condition present at birth2.8%88
  16. Visual impairmentreduced vision2.3%72
  17. Insomniadifficulty sleeping2.2%71
  18. Amnesiamemory loss2.2%70
  19. Unevaluable eventthe event could not be assessed2.1%67
  20. Toxicity to various agentspoisoning or toxic effect of one or more substances2%65
  21. Road traffic accidenta road accident1.9%61
  22. Suicide attempta suicide attempt1.9%60
  23. Suicidal ideationthoughts of suicide1.8%58
  24. Hospitalisationadmission to hospital1.7%54
  25. Constipationconstipation1.6%51

Top 30 of 490 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the share of all reports in the database; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death10.4%331
Life-threatening0.5%16
Hospitalisation (initial or prolonged)7.5%239
Disability20.2%643
Congenital anomaly3.3%104
Other serious99.7%3,170
Not serious0.1%4

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 20,646,523 reports. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20%0
2 to 110%0
12 to 170.1%4
18 to 442.8%90
45 to 642.5%81
65 to 740.4%14
75 and over0.2%6
Age not given93.9%2,983

Patient sex

Female43.8%1,391
Male54.4%1,730
Not given1.8%57

Who reported

Physician0.6%18
Pharmacist0%1
Other health professional0.2%7
Lawyer49.7%1,578
Consumer or non-health professional49.5%1,574
Not given0%0

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 99.7% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Pain2848.9%
Back pain321%
Pain management190.6%
Injury160.5%
Back injury130.4%
Foetal exposure during pregnancy100.3%

The indication field is filled in by the reporter and is often blank; shares are of all 3,178 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Tramadol Cr Tablets reports
Oxycodone hydrochloride4,071128.1%
Hydrocodone bitartrate and acetaminophen2,45677.3%
OxyContin2,32173%
Oxycodone and acetaminophen2,30372.5%
Morphine sulfate1,44645.5%
Dilaudid1,32141.6%
MS Contin95430%
Buprenorphine Transdermal Patch71722.6%
Hydromorphone Tablets61119.2%
Oxy Ir49215.5%

Other products listed in reports where Tramadol Cr Tablets is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureTramadol Cr TabletsAll reports
Reports as suspect product3,17820,646,523
Share of that pool—0%
Reports, latest 12 months01,332,454
Marked serious99.9%57.4%
Death recorded among outcomes, per 1,000 reports10491
Hospitalisation recorded, per 1,000 reports75213
Consumer-filed share49.5%45.8%
Top term, share of reportsDrug dependence 94.7%0.8%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Questions about Tramadol Cr Tablets reports

How many adverse event reports has FDA received for Tramadol Cr Tablets?

3,178 reports list Tramadol Cr Tablets as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 0 of them arrived in the latest 12 months. Another 1 list it only as a concomitant medication.

What reactions are recorded in Tramadol Cr Tablets reports?

drug dependence (94.7%), overdose (37.3%), developmental delay (19.2%), learning disability (18.9%) and foetal exposure during pregnancy (18.8%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Tramadol Cr Tablets was responsible.

How serious are the reports?

99.9% are marked serious by the reporter. Among the outcomes recorded, 10.4% of reports include death and 7.5% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

lawyer (49.7%), consumer or non-health professional (49.5%) and physician (0.6%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Tramadol Cr Tablets rising?

0 reports in the 12 months to June 2026, and none in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Tramadol Cr Tablets was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Tramadol Cr Tablets?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Tramadol Cr Tablets as a suspect or interacting product; reports listing it only as a concomitant medication (1) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.