Yes Tramadol is a controlled substance in all 50 US states.
Tramadol is a medicine that is a pain reliever and is used to relieve severe and moderate pain.
The medicine Tramadol is in a way similar to Opioid since it works in your bodies brain to change how your body responds to and feels any pain.
Tramadol which is a narcotic pain medicine requires a written prescription from your doctor to be able to get it.