It is hard to compare pain pills one to another because you can see by the responses above that they work differently for different people. They are both considered "opioid anagesics" even though Tramadol is not a "true" opioid but is more "opioid like" it isnt made from the poppy plant nor is it a synthesized version of compounds made by the poppy plant. It is chemically closer to antidepressants but it DOES act on opioid receptors in the brain so this makes it "opioid like" and as such carries the same risks for dependence and addiction that opioids do. It also carries risks of withdrawal similar to opioids and also similar to the same withdrawal one gets from antidepressants. Vicodin is an opioid. It is hydrocodone, an opioid analgesic, mixed with acetaminophen, a non opioid analgesic. They are both good for moderate to moderately sever pain. You will just have to try to see which one is better at relieving your pain.
Tramadol tends to be less sedating so many people like that they can take Tramadol and still function. Some people find both to be sedating. Pain relieving drugs are very much subject to the user and everyone (and their pain) is different.
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