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Ultram functions as a dual-action pain reliever. It acts as an opioid agonist, binding to mu-opioid receptors in the brain, which helps alleviate pain. Additionally, it inhibits the reuptake of serotonin and norepinephrine, two neurotransmitters involved in pain modulation. This multifaceted approach makes Ultram effective for various pain conditions, particularly when other treatments have proven inadequate