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Tramadol is a prescription medication that is used to treat moderate to moderately severe pain. It belongs to a class of drugs called opioid analgesics, but its exact mechanism of action is not fully understood. Tramadol works by binding to opioid receptors in the brain, which helps to decrease the perception of pain. In addition to its pain-relieving properties, tramadol also has effects on neurotransmitters such as serotonin and norepinephrine, which may contribute to its analgesic effects.