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HOW DOES Tramadol WORK. Provides symptom ultram product or service and adverse ultram. 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. Tramadol-induced analgesia is only partially reversed by the opiate antagonist naloxone in several animal tests. Tramadol has been shown to inhibit reuptake of norepinephrine and serotonin in vitro. Provides symptom ultram product or service and adverse ultram.