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Tramadol is a prescription medication used to treat moderate to moderately severe pain. It is classified as an opioid analgesic, though it works a little differently from traditional opioids. Tramadol relieves pain by binding to opioid receptors in the brain and by increasing levels of serotonin and norepinephrine, two chemicals that help control how the body perceives pain. Because of this dual action, it can be effective for various types of pain, including post-surgical pain, injury-related pain, and some chronic pain conditions. Doctors prescribe tramadol when other pain relievers, such as non-opioid medications, are not effective. It is available in immediate-release and extended-release forms and should be taken exactly as directed to avoid complications.