Tramadol in Tanzania: NEMLIT level, who can prescribe it and STG references

Tramadol is on Tanzania's National Essential Medicines List (NEMLIT, 7th edition, 2026) at level B (health centre). It is not on the DukaDawa pharmacy network yet, so we show no brands or prices for it. The Standard Treatment Guidelines mention it in 8 or more sections.

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Is tramadol available on the DukaDawa pharmacy network?

Not yet. Tramadol is not in the DukaDawa network catalogue, so we have no brands, prices or stock for it.

Prescribers can still write it on a DukadawaRx prescription, and we show it here as soon as a network pharmacy lists it.

Is tramadol on the NEMLIT, and who can prescribe it?

Yes. Tramadol is on Tanzania's National Essential Medicines List (NEMLIT, 7th edition, 2026) at level B (health centre). At level B it may be prescribed by specialists, medical officers, dental officers, assistant medical officers and clinical officers.

Level
B (health centre)
Category
Opioid Analgesics/Antagonists (Medicines for Pain and Palliative Care)
Listed forms
Tablet 50mg; Injection: 50mg/mL in 2mL
Page
NEMLIT, p. 5
Who may prescribe at each NEMLIT level (STG/NEMLIT 7th edition, Part I, Table 1). Levels listed for this medicine are highlighted.
LevelFacilityWho may prescribe
ADispensarySpecialist, Medical Officer, Dental Officer, Assistant Medical Officer, Clinical Officer, Assistant Clinical Officer
B (listed)Health centreSpecialist, Medical Officer, Dental Officer, Assistant Medical Officer, Clinical Officer
CCouncil or district hospitalSpecialist, Medical Officer, Dental Officer, Assistant Medical Officer
DRegional referral hospitalSpecialist, Medical Officer, Dental Officer
SZonal, special and national hospitalsSpecialist

A medicine is listed from the lowest facility level where it should be available.

Where is tramadol in the Standard Treatment Guidelines?

The Standard Treatment Guidelines (7th edition, 2026) mention tramadol in 8 or more sections, most often section 2.4 Pain Management (Acute and Chronic Pain Management) (p. 68). See the STG for treatment details.

  • 2.4 Pain Management (Acute and Chronic Pain Management), p. 68
  • 1.16.3 Approach to Pain > Headache, p. 50
  • 3.1.4 Anaemia > Sickle Cell Disease (SCD), p. 74
  • 17.2.1 Inflammatory condition > Osteoarthritis, p. 439
  • 1.16.1 Approach to Pain > Approach to Chest Pain, p. 48
  • 4.2.6 Viral Infections > Mpox, p. 112
  • 8.7.1 Spinal Cord and Peripheral Nerve Disorders > Acute Transverse Myelitis (TM), p. 187
  • 8.7.3 Spinal Cord and Peripheral Nerve Disorders > Peripheral Neuropathy, p. 188

Sections that mention Tramadol, most mentions first. Positions only: see the STG for treatment details.

All opioid analgesics/antagonists on the NEMLIT

Sources

  • Standard Treatment Guidelines and National Essential Medicines List (STG/NEMLIT), 7th edition, 2026, Ministry of Health, United Republic of Tanzania

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STG positions are section numbers and printed page numbers only.

This page supports licensed prescribers and pharmacists. It is not medical advice and does not replace the Standard Treatment Guidelines, the product information or professional judgement. Prices and stock change often: confirm with the pharmacy.

For licensed prescribers and pharmacists. Not medical advice. Check the Standard Treatment Guidelines before prescribing.