Tramadol is a prescription opioid pain reliever used to manage moderate to severe pain. It belongs to a class of drugs known as centrally acting analgesics, which work by binding to opioid receptors in the central nervous system. Tramadol is available in various forms, including tablets, capsules, suppositories, and injections. Tramadol's primary mechanism of action involves binding to mu-opioid receptors in the brain and spinal cord. This binding inhibits the transmission of pain signals, thereby reducing the perception of pain. Additionally, tramadol has mild serotonin-norepinephrine reuptake inhibition activity, which may contribute to its analgesic effects and potential mood-elevating properties. Acute pain following surgery or trauma Chronic pain conditions, such as back pain, osteoarthritis, and neuropathic pain