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Tramadol, sold under the brand name Ultram among others, is an opioid pain medication used to treat moderate to moderately severe pain. When taken by mouth in an immediate-release formulation, the onset of pain relief usually begins within an hour. It is also available by injection Tramadol, M1 metabolite and enantiomer affinities for cloned human opioid receptors expressed in Tramadol acts as a μ-opioid receptor agonist, serotonin releasing agent, norepinephrine reuptake.. Tramadol (also known as Ultram, Ralivia or Tramal) is a synthetic opioid substance of the cyclohexanol class that is structurally related to codeine and morphine Opioids are a class of drugs that include the illegal drug heroin as well as pain relievers available legally by prescription, such as oxycodone (OxyContin®), hydrocodone (Vicodin®), codeine, morphine..
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