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Tramadol is a prescription opioid analgesic used under medical supervision to treat moderate to moderately severe pain. It works by altering how the brain perceives pain while also affecting certain neurotransmitters involved in pain regulation. Because tramadol carries risks—including dependence, misuse, respiratory depression, and withdrawal—it is only prescribed after a licensed healthcare provider performs a proper medical evaluation. Dosage is carefully individualized based on pain severity, age, kidney and liver function, and overall health status. Physicians typically start with the lowest effective dose and adjust gradually to minimize side effects such as nausea, dizziness, drowsiness, and constipation. Tramadol must never be combined with alcohol, benzodiazepines, or other opioids without strict medical guidance due to the risk of life-threatening respiratory suppression. For patient safety, tramadol should only be obtained