Originally Posted by JDiver

Influence on Mexico drugs regulations is more marked with those affected by DEA and US drug laws. Those most affected include stimulants, opiates and opioids and various central nervous depressants, hypnotics, sedatives, etc. so my guess is Tramadol is restricted in Mexico.

The larger pharmacies in Mexico often have a physician on consult, so you might find it more effective to try your American Rx and as a backup do a consult (usually moderately priced) with your US physician's letter or / and prescription.