Tramadol 200mg is a narcotic-like pain reliever. It is used to treat moderate to severe pain. It extended-release is used to treat moderate to severe chronic pain when treatment is needed around the clock. It may also be used for other purposes not listed in this medication guide. Tramadol 200mg is used in the management of moderate to moderately severe pain. Extended release tablets are used for moderate to moderately severe chronic pain in adults who require continuous treatment for an extended period.