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Tramadol is a centrally acting analgesic medication used to manage moderate to moderately severe pain. It is available under various brand names, including Ultram. Tramadol is primarily indicated for the relief of moderate to moderately severe pain. It may be prescribed for acute pain following surgery or injury, as well as chronic pain conditions such as osteoarthritis and neuropathic pain. Tramadol exerts its analgesic effects through multiple mechanisms. It acts as a mu-opioid receptor agonist, similar to traditional opioids like morphine, but it also inhibits the reuptake of serotonin and norepinephrine in the brain.