Tramadol (Ultram) is a narcotic pain reliever. This means that only adults with a prescription should take it. Never give this pain killer to a child as it could have serious health complications. Women who are pregnant or nursing should not take Tramadol either as this could affect the baby in both stages of life. If you have certain health conditions, it is always best to discuss these with your doctor to make sure that Tramadol is the right treatment for you. be prepared that Tramadol is likely to be given as short-term relief. Take it for the full length of time your doctor recommends, but it is often given until other methods can be used.