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Tramadol also commonly known as Ultracet in longer acting formations is a pain medication commonly used to treat moderate to moderately severe acute and chronic pain. It is classified under schedule IV. Tramadol can be administered orally or via injecting into vein. Tramadol works by binding to and blocking the transponders to the brain. It is a racemic mixture compound, with positive enantiomer inhabiting serotonin reuptake whereas the negative enantiomer inhabiting noradrenaline re-uptake.