A high-performance liquid chromatog. (HPLC) method was established for the determination of related substances in acetaminophen tramadol tablets.The HPLC conditions were as follows: Ph column (4.6 mm × 250 mm, 5 μm), the mobile phase of tetrahydrofuran-triethylamine-water-trifluoroacetic acid (8:0.1:92:0.1), the detection wavelength at 216 nm, and column temperature at 50°C.The detection method had a good specificity and durability.Tramadol hydrochloride had a good linearity in the Sample quantity of 5.151 ng to 41.208 ng.The method was simple, rapid and suitable for the quality control of compounds of acetaminophen tramadol tablets.