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Tramadol is a centrally acting opioid analgesic used to manage moderate to moderately severe pain. It's commonly prescribed for conditions such as post-operative pain, dental pain, and chronic pain conditions like fibromyalgia and osteoarthritis. Tramadol is available in both immediate-release and extended-release formulations. Tramadol works by binding to mu-opioid receptors in the brain and inhibiting the reuptake of serotonin and norepinephrine. This dual mechanism of action provides pain relief through both opioid and non-opioid pathways. Tramadol is effective in managing various types of pain, including acute and chronic pain conditions. It provides pain relief comparable to other opioid analgesics but with a lower risk of respiratory depression and dependence.