"Some consume tramadol for its calming, analgesic and anti-fatigue effects in order to improve intellectual, physical and working performances, and to lessen the need for sleep and decrease appetite," the report said.
In farming communities, there are reports of tramadol being used by humans and fed to cattle to enable them to work under extreme conditions. Others use tramadol as a recreational drug on account of its stimulant and euphoric effects, or to improve sexual stamina."
https://www.reuters.com/article/us-un-drugs/opioid-use-booming-as-tramadol-crisis-emerges-in-africa-un-drug-report-idUSKCN1TQ2ZG
https://www.vice.com/en_au/article/a35wyg/africa-opioid-crisis-tramadol-addiction
You need to understand who is actually using these drugs and why,” Loglo says. “The vast majority of users are manual labourers, who take this ‘Tramadol’ so that they can work longer hours, day after day. In Ghana, for instance, it is very common amongst rice farmers and fishing communities. Across the region it is mainly used by working age men, aged 15-50. Tramadol is weak enough as an opioid that people can still function – but its pain killing effects mean that people can go on working hard, monotonous jobs much longer
https://www.bbc.com/news/av/world-africa-43944309/nigeria-s-deadly-codeine-cough-syrup-epidemic
https://www.bbc.com/news/av/world-africa-48532120/africa-eye-how-a-codeine-investigation-changed-nigeria
USA jest za Murzynami nawet 6x gorzej to nie są ćwiczenia to prawdziwe życie xD