Tramadol 200 mg is a Schedule IV controlled substance under the Controlled Substance Act (CSA) approved by the FDA; is used to treat pain. The effect after application of the drug lasts up to 8 hours. This medicine belongs to a class of drugs known as opioid analgesics that work in the body by changing how you sense pain. Since Tramadol 200 mg is a controlled substance, it can only be used with a doctor’s close supervision. It is available in oral tablet or capsule form in which the oral tablets come in both immediate-release and extended-release forms. They may be available in different strength forms. The white rounded-shape tablet is identified as Tramadol 200 mg. The maximum dosage is 200 mg (or should not exceed 200 mg) per day. However, they take longer to start working and their effects last 12 or 24 hours. Only your doctor can raise your dose as needed. It carries some side effect risks, such as dizziness, headache, vomiting, constipation, lack of energy, sweating, dry mouth, increased blood pressure, fast breathing rate, fast heart rate, teary eyes, runny nose, etc.