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Tramadol is a centrally acting synthetic opioid analgesic and serotonin-norepinephrine reuptake inhibitor (SNRI) used for the management of moderate to moderately severe pain in adults. It acts primarily as an agonist at the mu-opioid receptor and also inhibits the reuptake of serotonin and norepinephrine in the central nervous system. Tramadol exists as a racemic mixture with both enantiomers contributing to its analgesic effects through different mechanisms. The drug is structurally related to codeine and morphine but has about one-tenth the potency of morphine. It is available in immediate-release and extended-release formulations for oral administration. Tramadol was first approved by the FDA in 1995 for pain management[2][5][8].
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