Africa remains one of the regions least served with effective pain relief medicine and although Tramadol is not the strongest of analgesics, it is a darling on prescription lists. That’s because unlike other opioids such as methadone and fentanyl, Tramadol is not internationally regulated, hence it is cheap and readily available for patients. Doctors prescribe Tramadol in cases of post-surgical pain, bone deficiencies and cancer and the medical charity Médecins Sans Frontières (Doctors Without Borders) classifies it among its ‘essential drugs’ list. However, in the last decade, the continent has seen a significant rise in the non-medical use of Tramadol, which produces similar effects to the “high” caused by heroin. (See also: FDA seizes large quantity of Tramadol and other drugs)