<s>[INST] My husband was recently given a precription of tramadol acetaminophen, he was in a bad accident in 2002, resulting in L1,2,3 and 4 transverse process fractures. He has been using naproxine , 3times a day, his family DR suggestive the tramadol in its place. is the tramadol acetaminophen an addictive medicine? [/INST] Hi,Thanks for being on HCM.Tramadol is an opioid drug and can be habit forming. Acetaminophen on the other hand, doesn't belong to that class.Hope that helps.If you have any further questions,I shall be glad to have you in follow-up. </s>