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Independent analysis of NHS open data
PharmaInsight

Tramadol hydrochloride

Central Nervous System Analgesics BNF 040702040
Data updated April 2026 Download CSV

Tramadol hydrochloride was ranked 57th of 1,792 medicines by items in April 2026, with 411,150 items, down 2.6% on a year earlier.

411,150items -2.6%

Dispensed in April 2026

4,587,726items

Rolling 12 months

£1,565,584

Net ingredient cost · April 2026

Figure 1. Tramadol hydrochloride: national items dispensed by month

0 253k 506k Jan 2021 Nov 2021 Sep 2022 Jul 2023 May 2024 Mar 2025 Apr 2026 411,150 Jan 2021: 477k Feb 2021: 449k Mar 2021: 506k Apr 2021: 490k May 2021: 464k Jun 2021: 496k Jul 2021: 494k Aug 2021: 470k Sep 2021: 493k Oct 2021: 469k Nov 2021: 483k Dec 2021: 505k Jan 2022: 470k Feb 2022: 443k Mar 2022: 502k Apr 2022: 469k May 2022: 482k Jun 2022: 473k Jul 2022: 465k Aug 2022: 478k Sep 2022: 475k Oct 2022: 463k Nov 2022: 469k Dec 2022: 472k Jan 2023: 464k Feb 2023: 426k Mar 2023: 485k Apr 2023: 434k May 2023: 463k Jun 2023: 469k Jul 2023: 452k Aug 2023: 462k Sep 2023: 449k Oct 2023: 454k Nov 2023: 452k Dec 2023: 450k Jan 2024: 457k Feb 2024: 426k Mar 2024: 436k Apr 2024: 447k May 2024: 459k Jun 2024: 422k Jul 2024: 460k Aug 2024: 441k Sep 2024: 427k Oct 2024: 451k Nov 2024: 426k Dec 2024: 438k Jan 2025: 444k Feb 2025: 395k Mar 2025: 420k Apr 2025: 422k May 2025: 435k Jun 2025: 416k Jul 2025: 442k Aug 2025: 407k Sep 2025: 426k Oct 2025: 437k Nov 2025: 395k Dec 2025: 438k Jan 2026: 416k Feb 2026: 381k Mar 2026: 418k Apr 2026: 411k

Source: NHSBSA Prescription Cost Analysis, to April 2026

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At a glance

  • Therapeutic class Analgesics
  • Presentations 15 shown
  • Average cost / item £3.81
  • Year on year Down 2.6% on a year earlier
What this is
Net ingredient cost is the list price before discounts and dispensing fees, not what the NHS finally pays.

Top presentations, April 2026

The individual products dispensed under Tramadol hydrochloride this month.

Presentations of Tramadol hydrochloride, April 2026
Presentation BNF code Items Net ingredient cost
Tramadol 50mg capsules 040702040AAAAAA 342,253 £902,566
Marol 100mg modified-release tablets (Teva) 040702040BNAFAC 15,199 £103,778
Zydol SR 50mg tablets 040702040BBAKAY 12,799 £59,979
Tramadol 100mg modified-release capsules 040702040AAAHAH 7,438 £105,152
Marol 200mg modified-release tablets (Teva) 040702040BNADAE 6,411 £74,412
Tramadol 50mg modified-release capsules 040702040AAAGAG 5,623 £42,206
Marol 150mg modified-release tablets (Teva) 040702040BNAEAD 3,818 £32,132
Tramulief SR 100mg tablets 040702040BKAAAC 2,827 £19,687
Tramadol 37.5mg / Paracetamol 325mg tablets 040702040AAAUAU 2,077 £13,607
Tramadol 200mg modified-release capsules 040702040AAAJAJ 1,962 £44,604
Zydol SR 100mg tablets 040702040BBACAC 1,417 £25,230
Tramulief SR 200mg tablets 040702040BKACAE 1,266 £14,709
Tramadol 150mg modified-release capsules 040702040AAAIAI 1,156 £19,857
Maxitram SR 50mg capsules 040702040BPAAAG 1,111 £5,481
Zamadol Melt 50mg tablets 040702040BDAGAT 1,005 £11,203

Source: NHSBSA Prescription Cost Analysis · to April 2026 OGL v3.0

Where Tramadol hydrochloride is dispensed

The regions and dispensing practices with the highest Tramadol hydrochloride volumes.

Regional volumes from NHSBSA Prescription Cost Analysis; practice volumes from NHS dispensing data.

Compare Tramadol hydrochloride with

Other medicines in the same BNF section, by prescribing volume.