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Tramadol (generic for Tramadol) is a white, bitter, crystalline and odorless powder. Provides get ultram prescription product or service and symptom ultram. HOW DOES Tramadol WORK. Tramadol acts on the central nervous system and unlike codeine and its derivative medications is a totally synthetic analgesic compound. Although its mode of action is not completely understood, from animal tests, at least two complementary mechanisms appear applicable: the binding of parent compound and its metabolite to opioid receptors and weak inhibition of reuptake of norepinephrine and serotonin by nerves located within the central nervous system. Provides get ultram prescription product or service and symptom ultram.