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Tramadol is a prescription medication used to treat moderate to moderately severe pain. It is a synthetic opioid analgesic, meaning it works by binding to opioid receptors in the brain and spinal cord to decrease the perception of pain.buy Tramadol 200mg online is available as an immediate-release tablet, extended-release tablet, and oral solution. The extended-release form of tramadol is for around-the-clock treatment of pain. This form of tramadol is not for use on an as-needed basis for pain relief.