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New Orleans, Louisiana, United States, Tramadol is a centrally acting synthetic opioid analgesic and SNRI (serotonin/norepinephrine reuptake-inhibitor) that is structurally related to codeine and morphine. Due to its good tolerability profile and multimodal mechanism of action, tramadol is generally considered a lower-risk opioid option for the treatment of moderate to severe pain.Enhances the effect of drugs that depress the central nervous system (including tranquilizers, hypnotics, sedatives and anesthetics), and ethanol. Inducers of microsomal oxidation (including carbamazepine, barbiturates) reduce the severity of the analgesic effect of tramadol and the duration of action. Since carbamazepine increases the metabolism of tramadol and increases the risk of seizures, the simultaneous use of carbamazepine and tramadol is not recommended. Long-term use of opioid analgesics or barbiturates stimulates the development of cross-tolerance. Tramadol is a strong pain medication used to treat moderate to severe pain that is not being relieved by other types of pain medicines. Tramadol is a synthetic opioid and acts in the brain and spine (central nervous system) to reduce the amount of pain you feel. The extended-release form of tramadol is for around-the-clock treatment of pain. This form of tramadol is not for use on an as-needed basis for pain. If you want to buy tramadol online then it will be helpful to you., New Orleans, United States, 70130 (Show me directions) Show Map