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Tramadol , sold under the brand name Ultram among others, [2] is an opioid pain medication used to treat moderate to moderately severe pain. Common side effects include: Tramadol is used primarily to treat mild—severe pain, both acute and chronic. For pain moderate in severity, its effectiveness is equivalent to that of morphine; for severe pain it is less effective than morphine. Available dosage forms include liquids, syrups, drops, elixirs, effervescent tablets and powders for mixing with water, capsules, tablets including extended release formulations, suppositories, compounding powder, and injections. As of tramadol was not approved in the United States for fibromyalgia. Use of tramadol is not advised for people deficient in CYP2D6 enzymes. Tramadol's use in pregnancy is generally avoided as it may cause some reversible withdrawal effects in the newborn.
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