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Tramadol is a prescription opioid analgesic used under licensed medical supervision to help manage moderate to moderately severe pain when other treatments are not sufficient. It works by interacting with opioid receptors and influencing neurotransmitters involved in pain regulation. Because tramadol can cause drowsiness, dizziness, nausea, and carries risks of dependence, misuse, and—at higher doses—seizures, clinicians determine dosing carefully and monitor treatment closely. Sudden dosage changes or stopping without guidance may trigger withdrawal symptoms. For safety, authenticity, and appropriate oversight, tramadol should be dispensed only with a valid prescription through a licensed, regulated pharmacy.