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Tramadol is not considered a controlled substance in the US and Canada, and is at one's disposal with a normal prescription. Tramadol is at on the other side of the token without medicament in a few countries.[41] Sweden has, as of May 2008, chosen to classify Tramadol as a controlled burden in the selfsame way as codeine and dextropropoxyphene. This means that the possessions is a scheduled drug. But distinguishable from 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 every so often mistakenly classified as an opiate because of its agonist liveliness at the ?-opioid receptor; in whatever way, chemically it is not coupled to opiates.[3]