In 2022, Virginia reported around 22,398 emergency department visits linked to drug overdoses, with tramadol contributing significantly to the total. Fentanyl and its analogs were also involved in nearly 79% of the state’s overdose fatalities.
Initially regarded as a safer pain management option due to its supposedly lower abuse potential, tramadol has since demonstrated a clear risk of dependence and addiction when used improperly or beyond prescribed limits.









