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PharmaInsight

Tramadol hydrochloride vs Fentanyl

National NHS prescribing compared (Prescription Cost Analysis)
Data updated March 2026

Tramadol hydrochloride was dispensed 8.4× as often as Fentanyl in March 2026 — 418,216 items versus 49,945 in England.

418,216items

Tramadol hydrochloride · March 2026

NHSBSA Prescription Cost Analysis

49,945items

Fentanyl · March 2026

NHSBSA Prescription Cost Analysis

Figure 1. Tramadol hydrochloride versus Fentanyl: national items dispensed by month

▬ Tramadol hydrochloride   ·   ╌ Fentanyl

Fentanyl 418,216

Source: NHSBSA Prescription Cost Analysis, to March 2026

Tramadol hydrochloride versus Fentanyl, March 2026
Measure Tramadol hydrochloride Fentanyl
Items, March 2026 418,216 49,945
Items, last 12 months 5,034,175 618,732
Net ingredient cost, March 2026 £1,567,875 £1,619,682

See the full profile for Tramadol hydrochloride or Fentanyl.