Use of pain reliever tramadol may lead to a higher risk of hip fracture among adults 50 years or older – a new study has revealed. The authors of the study suggested there is need to review the clinical practice guidelines on tramadol use. Tramadol oral tablet is a prescription drug for treating moderate to severe pain in adults. It is available as an immediate-release and extended-release tablet. The drug also comes as an extended-release oral capsule. Tramadol oral tablets are available as both generic and brand-name drug Ultram. Several professional organizations have recommended tramadol as one of the first‐line