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Ultram is a centrally-acting analgesic, used for treating moderate to moderately severe pain. The drug has a wide range of applications, including treatment for restless leg syndrome, acid reflux, and fibermyosis. Ultram is used similarly to codeine, to treat moderate to moderately severe pain and most types of neuralgia, including trigeminal neuralgia. Ultram is somewhat pharmacologically similar to levorphanol (albeit with much lower µ-agonism), as both opioids are also NMDA-antagonists which also have SNRI activity.

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