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Tramadol is a synthetic opioid analgesic used to treat moderate to moderately severe pain. It is available under various brand names, including Ultram, Ultram ER, Conzip, and also as generics. Tramadol is also available in combination with acetaminophen under the brand name Ultracet and as generics. 

How it Works:
Tramadol works by binding to opioid receptors in the brain and blocking the transmission of pain signals. Additionally, it inhibits the reuptake of serotonin and norepinephrine, which can enhance its pain-relieving effects and produce a mild antidepressant effect. 

Uses:
Management of moderate to moderately severe pain in adults.
May be used as an alternative to other forms of pain relief that were not well-tolerated or effective.
Extended-release formulations may be used for around-the-clock treatment of chronic pain. 

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