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Tramadol is a centrally acting opioid analgesic medication used primarily for the management of moderate to moderately severe pain. It works by binding to mu-opioid receptors in the central nervous system, thereby inhibiting the transmission of pain signals. Additionally, tramadol also inhibits the reuptake of serotonin and norepinephrine, which may contribute to its analgesic effects.

Here are some key points about tramadol:

1. Pain Management: Tramadol is prescribed for various types of pain, including acute pain following injury or surgery and chronic pain conditions such as osteoarthritis, fibromyalgia, and neuropathic pain.
2. Immediate-Release and Extended-Release Formulations: Tramadol is available in both immediate-release and extended-release formulations. Immediate-release tablets are typically taken every 4 to 6 hours as needed for pain relief, while extended-release tablets are taken once or twice daily for continuous pain management.