Tramadol with the chemical cis -2 { dimethylamino } -1- (3-methoxyphenyl) - cyclohexanol hydrochloride, is a 4- phenylpiperidine analog of codeine. It is a usual go- to medication as it has less potential for abuse and respiratory depression. Tramadol can be found as 2 enantiomers with active analgesic properties however, the mechanism of action of each of the enantimers differs greatly. In the FDA records, the first approved tramadol product was developed by Actavis Elizabeth and FDA approved in 2002