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If a person is not breathing, or if they are unresponsive, seek help straight away. Tramadol is used for the short-term relief of severe pain. Tramadol is not usually recommended for the treatment of chronic long-term pain. Tramadol works directly on opioid receptors in the central nervous system and reduces feelings of pain by interrupting the way nerves signal pain between the brain and the body. Tramadol is also available in a combination tablet together with paracetamol.

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