Does the drug tramidol (most likely didn't spell right) the synthetic opiate show up in routine or average drug screenings?

No: No but it is always a good idea to disclose all prescribed meds.

Depends: If you are on tramadol / "ultram" (limited abuse potential), a test for drugs of abuse may or may not pick it up depending on the lab and whether the person who is asking you take the test has asked that it be screened for. Do like dr. Wasser recommends, and let folks know if you're taking the stuff, and why.

No: Would not show up in standard opiate screen, needs to be specifically looking of tramadol to find it.

Depends: some urine drug screens test for tramadol some don't hard to know unless you ask.