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A combination of tramadol and ketamine used for pain management. Tramadol is an opioid analgesic that acts as a μ-opioid receptor agonist and inhibits serotonin and norepinephrine reuptake. Ketamine is a non-competitive NMDA receptor antagonist. When combined, they provide synergistic analgesic effects, potentially reducing the need for higher doses of either medication alone and decreasing associated adverse effects.
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