How often do you guys see tramadol being abused, or diverted for street sales? Also, any idea how much the street value might be? One of my attendings/clinic director was polling our residents recently to find out to what extent we suspect it is being abused or diverted in our patient population. Apparently our clinic is considering putting a limit on how many tramadol can be dispensed per month to a single pt (we have an in-house dispensary so we actually can do this). Tramadol has become one of the highest volume drugs going out of our dispensary... apparently there are some ridiculous quantities going out the door, like 240 tabs per month to a single patient.