
Tramadol is a synthetic opiate, but it is milder that the opiate in Percocet. That's why it's a useful step-down drug from the heavy-duty narcotics.From what I could Google, Tramadol is an opiate, just like Percocet, and that other drug is acetaminophen, like Tylenol. The advantage I can see is that the opiate and the acetaminophen are contained in their own pill, not combined like in Percocet.