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Tramadol is unique among pain relievers because it works in two ways: as an opioid agonist and a serotonin-norepinephrine reuptake inhibitor (SNRI). It binds to opioid receptors in the brain, reducing the perception of pain, while also increasing serotonin and norepinephrine levels, which help regulate mood and pain response. Because of this dual mechanism, Tramadol is often prescribed for chronic pain conditions such as arthritis, back pain, and post-surgical recovery. However, its opioid properties mean it can be habit-forming, leading to dependence and withdrawal symptoms if not taken correctly. Some common side effects include dizziness, nausea, dry mouth, and constipation. Tramadol should not be combined with other medications that affect serotonin levels, such as antidepressants, as it may increase the risk of serotonin syndrome, a serious condition. To ensure safe use, Tramadol should always be taken under a doctor’s guidance.