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Tramadol is a medication used to treat moderate to moderately severe pain. It's classified as an opioid analgesic, but it also has some properties of antidepressants, which makes it unique among opioids. Tramadol works by binding to opioid receptors in the brain and spinal cord, as well as inhibiting the reuptake of serotonin and norepinephrine. This dual mechanism of action helps to relieve pain. Tramadol is available in immediate-release tablets, extended-release tablets, and as an oral solution. Immediate-release formulations provide rapid pain relief, while extended-release formulations provide a more prolonged effect and are often used for chronic pain management. Tramadol is prescribed for various types of pain, including acute pain following surgery or injury, chronic pain associated with conditions like osteoarthritis and fibromyalgia, and neuropathic pain.