Tramadol is a Schedule IV controlled substance under the U.S. Controlled Substances Act since 2014, requiring a valid prescription from a DEA-registered healthcare provider for moderate-to-severe pain unresponsive to non-opioid therapies. Unlike Schedule II opioids, it allows limited refills, but states may impose additional restrictions on quantity and monitoring.
Licensed providers evaluate via in-person or approved telehealth consultations, assessing risks like serotonin syndrome before issuing e-prescriptions. Submit to NABP-verified pharmacies for secure dispensing and shipping; legitimate sites mandate prescription verification.
Sites selling without prescriptions violate FDA rules, distributing unapproved or counterfeit products that risk addiction, overdose, or seizures. Federal importation under 21 U.S.C. § 952 prohibits personal purchases; violations lead to fines and imprisonment. Use lowest effective doses short-term under supervision.
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