There is an appropriate use for each and every medication on the market, including the strongest narcotics, which I used in
my daily practice for controlling acute pain in
postoperative patients. Some patients in
intractable, chronic or cancer pain need to be on long term opiates under close supervision of a physician. However, pharmaceutical companies have been successful in persuading the FDA in not scheduling tramadol, also known by its brand name Ultram, as a non-controlled substance.