Tramadol belongs to a narcotic like drug category. This is recognized as opiate agonists. The very precise mode of action of this medicine is still not known. It is assumed that it works like morphine. Tramadol should be taken in a prescribed manner to ensure its safer use. It is used only to relieve the extreme and severe pains. It works by fluctuating the way our body senses and reacts pain. It is mistaken as an NSAID (non-steroidal anti-inflammatory drug). The availability of this medicine is required for immediate relieve of the pain. To get relieved of the pain immediately it is prescribed to have a tablet of 50 mg whereas for the continuous or extended release one can have an intake of tablets of 100 mg, 200 mg or 300 mg. the patients with chronic pains are usually given extended release tablets. This is usually prescribed to the patients who require long term and continuous treatment. One should not take it on their own instead consult doctor for the correct intake of dosage. It becomes very important to note when taking tramadol that it should be taken whole. Prescribed instructions should be followed as this medicine should be treated in a proper manner. This medicine should not be taken in a crushed way or chewed or split before the intake. It should be taken whole. Taking more of this medicine than the prescribed one can be harmful as it can cause people dependent on the medicine. It is proved to be habit forming for some people if taken more than the prescription. It should also be taken in notification that stopping of the intake of this medicine should be consulted first with your doctor. If it is discontinued all of a sudden then withdrawal symptoms can be experienced. But these are usual. The doctor might reduce the dose of medicine step by step. Extensive care should be taken while dealing with this medicine. Taking it with certain substances can be injurious to health. Combining it with substances like alcohol, anaesthetics, sedatives, tranquilizers or narcotic drugs can be extremely dangerous. It can cause some serious breathing problems or even stop if tramadol is combined with these. In other words, it may directly affect the breathing of the person. Tramadol binds the receptors which transmit the feeling of pain to brain.Taking more of this medicine than the prescribed one can be harmful as it can cause people dependent on the medicine. It is proved to be habit forming for some people if taken more than the prescription.