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Tramadol is not considered a controlled pith in the US and Canada, and is convenient with a general prescription. Tramadol is close by once more the token without prescription in a few countries.[41] Sweden has, as of May 2008, chosen to classify Tramadol as a controlled theme in the same approach as codeine and dextropropoxyphene. This means that the substance is a scheduled drug. But atypical codeine and dextropropoxyphene, a sane medicine can be used at this time.[9] As of December 5, 2008, Kentucky has classified Tramadol as a C-IV controlled substance. [10] Tramadol is on occasion mistakenly classified as an opiate because of its agonist activity at the ?-opioid receptor; in whatever way, chemically it is not interconnected to opiates.[3]