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Tramadol affects chemicals and receptors in the body that are associated with pain.

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I guess you'll do better if you wait for one of the 'experts' who post here to answer your questions, but at least I gave it a shot.

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The link that VBFG quoted is for a special version of Tramodol called Tramocet which is mixture of Tramodol and Paracetamol.

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