Tramadol is the opiate itself, it does not have paracetamol. There are other brand pills that contain both. Paracetamol does not contain an opiate. It is a dif

Tramadol is the opiate itself, it does not have paracetamol. There are other brand pills that contain both. Paracetamol does not contain an opiate. It is a different substance from opiates. It is, however, dangerous to the liver in large amounts.