Tramadol is a prescription opioid analgesic used to treat moderate to severe pain in adults . It works by binding to opioid receptors in the brain and inhibiting serotonin and norepinephrine reuptake, which changes how the body perceives and responds to pain . Available as immediate-release tablets (taken every 4-6 hours) or extended-release formulations (taken once daily for around-the-clock pain management), it carries significant risks including dependence, respiratory depression, seizures, and serotonin syndrome when combined with certain antidepressants . As a Schedule IV controlled substance, it requires strict medical supervision for short-term use only and is not suitable for those with substance abuse history, severe respiratory conditions, or children under 12 years of age

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