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Tramadol is an artificially synthesized centrally acting analgesic of the opioid type. The way of influence of this medicine is the regulation of painful and very painful pain states, among which chronic pains may be distinguished. Tramadol is prescribed for help in numerous gynecological, birth, and post-operative states, both in its oral and rectal forms. Wide application of the medicine is caused by the variety of target organs, so it is prescribed quite often by physicians for numerous issues starting from psychological problems up to cancers.

It provides a strong analgesic action without heavy sedative effects and low respiratory depressant effect. Compared with other pharmacological medicines, it has only moderate impact on gastrointestinal tract. Equally effective to morphine, it poses much smaller dependence risk. Meanwhile, pethidine, although being an equally strong analgesic in the treatment of labor pain, has more pronounced respiratory depression in newborns. There are also situations when tramadol is not recommended, which concern strong pain states.

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