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Tramadol is a powerful pain-relieving medication that is commonly prescribed to manage moderate to moderately severe pain. It is a synthetic opioid, meaning it works in a similar way to other opioids like morphine or codeine, by binding to opioid receptors in the brain and spinal cord to change the way the body senses pain. However, unlike some other opioids, tramadol also has some anti-depressant and anti-anxiety effects, making it a popular choice for the treatment of chronic pain conditions.