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Tramadol, sold under the trade name Ultram and others, is a narcotic pain-reliever prescription used to relieve moderate to severe pain conditions. At the point when taken orally in an immediate-release version, the beginning of relief from discomfort, for the most part, starts within 60 minutes. It comes in generic and trade name versions. It is also available in a blend with paracetamol (acetaminophen) or as longer-acting formulations.