Tramadol or Ultram is used to get help to relieve moderate to moderate pain management. Its extended-release tablets and capsules are only used by people who are having the extreme need to need the medication to relieve their severe pain around the clock. One should not take tramadol if he is having severe breathing problems or a blockage in the stomach or intestines, or if is having recently used alcohol, or sedatives, narcotic medication, or any similar.