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Tramadol is a pain reliever that is used to treat moderate to severe pain. It is a narcotic analgesic, which means that it works by binding to opioid receptors in the brain and spinal cord. This causes a decrease in pain signals that are sent to the brain. Tramadol is available in both oral and injectable forms. The oral form is taken by mouth, and the injectable form is given by injection into a vein or muscle. Tramadol is typically used for short-term pain relief.