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Tramadol, sold under the brand name Ultram among others, 1 is an opioid pain medication and a serotonin—norepinephrine reuptake inhibitor SNR used to treat moderately severe pain. As is typical of opioids, common side effects include constipation, itchiness, and nausea. Tramadol is used primarily to treat mild to severe pain, both acute and chronic. For severe pain it is less effective than morphine. Pain reducing effects last approximately six hours.