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Tramadol 5%

Al-Azhar University · Phase 3 active Small molecule ✓ Verified May 2026

Tramadol 5% is a Opioid analgesic with monoamine reuptake inhibition Small molecule drug developed by Al-Azhar University. It is currently in Phase 3 development for Moderate to moderately severe pain, Chronic pain conditions. Also known as: Topical tramadol.

Tramadol is a synthetic opioid analgesic that binds to mu opioid receptors and inhibits the reuptake of norepinephrine and serotonin to produce pain relief.

Tramadol is a medication used to manage postoperative pain, as indicated by ClinicalTrials.gov. Its mechanism of action is not specified in the provided facts, but it is listed as an intervention in various studies on ClinicalTrials.gov and registered in ChEMBL.

Likelihood of approval
58.3% vs 58.3% industry baseline
If approved by FDA: likely 2028–2030
Steps remaining: NDA/BLA submission
Confidence: High
Why this estimate
  • Baseline phase 3 → approval rate +58.3pp
    Industry-wide phase 3 drugs reach approval ~58.3% of the time (BIO/Informa 2023 industry benchmark across all therapeutic areas).
Predicted approval windows by jurisdiction (conditional on FDA approval)
Regulator Country Likely year Lag vs FDA
FDA US 2028–2030
EMA EU 2029–2031 +0.7 yr
MHRA GB 2029–2031 +0.7 yr
Health Canada CA 2029–2032 +0.9 yr
TGA AU 2029–2032 +1.2 yr
PMDA JP 2029–2032 +1.5 yr
NMPA CN 2030–2033 +2.3 yr
MFDS KR 2029–2032 +1.4 yr
CDSCO IN 2029–2033 +1.8 yr
ANVISA BR 2030–2033 +2.3 yr

Hover any row for the lag rationale. Lag estimates are reduced when the drug has FDA Breakthrough or EMA PRIME designation (sponsors file globally in parallel).

Estimate based on the BIO/Informa industry phase transition rates plus per-drug modifiers for therapeutic area, sponsor type, FDA designations, mechanism, and trial design. Per-jurisdiction lags from Tufts CSDD international approval studies. Not investment, clinical or regulatory advice. Methodology: /methodology#likelihood.

At a glance

Generic nameTramadol 5%
Also known asTopical tramadol
SponsorAl-Azhar University
Drug classOpioid analgesic with monoamine reuptake inhibition
TargetMu opioid receptor; norepinephrine and serotonin transporters
ModalitySmall molecule
Therapeutic areaPain Management
PhasePhase 3

Mechanism of action

Tramadol works through dual mechanisms: it acts as a weak mu opioid receptor agonist and also inhibits monoamine reuptake (norepinephrine and serotonin), enhancing descending pain inhibitory pathways. This combination provides analgesia with a lower abuse potential compared to pure opioids. The 5% formulation likely refers to a topical or oral solution concentration.

Approved indications

Common side effects

Key clinical trials

Primary sources

Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.

SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

Competitive intelligence

For the full competitive landscape — auto-detected comparators, recent regulatory actions across the set, upcoming PDUFA, patent timeline, sponsor landscape:

Frequently asked questions about Tramadol 5%

What is Tramadol 5%?

Tramadol 5% is a Opioid analgesic with monoamine reuptake inhibition drug developed by Al-Azhar University, indicated for Moderate to moderately severe pain, Chronic pain conditions.

How does Tramadol 5% work?

Tramadol is a synthetic opioid analgesic that binds to mu opioid receptors and inhibits the reuptake of norepinephrine and serotonin to produce pain relief.

What is Tramadol 5% used for?

Tramadol 5% is indicated for Moderate to moderately severe pain, Chronic pain conditions.

Who makes Tramadol 5%?

Tramadol 5% is developed by Al-Azhar University (see full Al-Azhar University pipeline at /company/al-azhar-university).

Is Tramadol 5% also known as anything else?

Tramadol 5% is also known as Topical tramadol.

What drug class is Tramadol 5% in?

Tramadol 5% belongs to the Opioid analgesic with monoamine reuptake inhibition class. See all Opioid analgesic with monoamine reuptake inhibition drugs at /class/opioid-analgesic-with-monoamine-reuptake-inhibition.

What development phase is Tramadol 5% in?

Tramadol 5% is in Phase 3.

What are the side effects of Tramadol 5%?

Common side effects of Tramadol 5% include Nausea, Dizziness, Constipation, Headache, Somnolence, Seizures (at high doses).

What does Tramadol 5% target?

Tramadol 5% targets Mu opioid receptor; norepinephrine and serotonin transporters and is a Opioid analgesic with monoamine reuptake inhibition.

Related

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing