Tramadol is a centrally acting analgesic medication primarily used to relieve moderate to moderately severe pain. It belongs to the class of medications known as opioid analgesics, but its precise mechanism of action is not fully understood. Tramadol works by binding to mu-opioid receptors in the brain and also inhibiting the reuptake of certain neurotransmitters, including serotonin and norepinephrine, which are involved in pain perception.