Aim: Inflammatory Bowel Disease (IBD) is an autoimmune disease characterized by chronic inflammation in the digestive system. Tramadol is an opioid analgesic drug, and it is known to play a role in the inflammation process in IBD disease. While the anti-inflammatory effect of tramadol is known, its role in protecting enterocytes against the cytokine storm is still being investigated. In our study, we aimed to analyze the effect of tramadol on enterocytes before and after cytokine storm in an in vitro inflammation model created with an intestinal epithelial cell line (IEC-6). Material and Methods: The cytotoxicity of tramadol on the IEC-6 cells was determined by MTT analysis. An in vitro inflammation model was created by treating IEC-6 cells with 50 ng/ml TNF-α+100 ng/ml IFN-ɣ for 48 hours. The IEC-6 cells were divided into four groups as follows: group 1 (control: only culture medium), group 2 (inflammation model: TNF-α and IFN-ɣ combine treatment), group 3 (prophylactic: tramadol treatment before TNF-α and IFN-ɣ combination) and group 4 (treated: tramadol treatment after TNF-α and IFN-ɣ combination). The IL-8 and TNF-α levels in the culture medium were detected by ELISA. The immunoreactivity of caspase-1, caspase-3, IL-6, IL-8, MLKL, RIPK-1 and TNF-α by immunocytochemistry was evaluated. Results: Increased RIPK-1 immunoreactivity in IEC-6 cells was indicative of necroptosis in the inflammation model. The pre-treatment of inflammation with tramadol reduced caspase-1 and RIPK-1 immunoreactivities. Additionally, a decrease in IL-8 and TNF-α levels was observed Discussion: Tramadol, with its anti-inflammatory effect, may be protective for cytokine release and necroptosis in enterocytes.