Oral Tramadol, a drug that needs to be metabolized by the kidneys, is detectable in the urine. Tramadol, a drug commonly used for pain relief, needs to be metabolized by the kidneys and eliminated from the urine. Therefore, it can be detected if a urine test is performed after taking the drug. In fact, not only drugs like Tramadol, but most drugs can show up in the urine when taken. Tramadol may cause adverse reactions such as nausea and dizziness when taken, and should not be used by patients who are allergic to opioids such as Tramadol and acetaminophen, or by children under the age of 12. Care should be taken not to stop the drug suddenly when using it, or it may cause severe anxiety, hallucinations, and abnormal sensations. In case of pain and other symptoms, it is recommended to seek medical attention, and the drug needs to be used under the guidance of a doctor to avoid unauthorized use.