For some people, tramadol addiction may develop accidentally. These people may feel that the dose the doctor has prescribed is too low to relieve their pain. But taking higher doses than prescribed can lead to tolerance, which means that a progressively larger dose is needed to obtain the same effect.
Tolerance is followed by dependence. Once you have become dependent on a substance, discontinuing use can lead to unpleasant and possibly dangerous withdrawal symptoms. When you are physically and psychologically dependent on a substance, you have developed an addiction.
A person with substance use disorder may deliberately take high doses of painkillers in order to experience feelings of energy and euphoria. When taking high doses of tramadol is done habitually for a period of time, the person may develop tramadol addiction. At this point, compulsion to use the drug has become all-consuming, and discontinuing its use is difficult or even impossible without help.