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Tramadol is a prescription medication used primarily to relieve moderate to moderately severe pain. It belongs to a class of drugs known as opioid analgesics, but it also has additional mechanisms of action beyond typical opioids. Tramadol is commonly prescribed to manage various types of pain, including musculoskeletal pain, postoperative pain, and pain associated with conditions such as osteoarthritis and fibromyalgia. It works by binding to opioid receptors in the brain and spinal cord, altering the perception of pain, and inhibiting pain signals from reaching the brain. Tramadol may be used in the treatment of chronic pain conditions that require around-the-clock management. Extended-release formulations of tramadol are available for this purpose, providing sustained pain relief over an extended period. Tramadol may also be prescribed for the management of neuropathic pain, which arises from damage or dysfunction of the nervous system. It can help alleviate neuropathic pain by modulating neurotransmitter activity and inhibiting the reuptake of serotonin and norepinephrine.