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Q: Does tramadol cause weight loss? A: Tramadol (Ultram) is a synthetic opioid pain reliever, similar in action to the narcotic pain relievers. Tramadol is not a narcotic and not a controlled substance. It is unclear exactly how tramadol works in the body to alleviate pain. Tramadol is approved for the management of moderate to moderately severe pain in adults 17 years of age and older. During the clinical trials of Ultram, the brand-name of tramadol, in patients with chronic nonmalignant pain, tramadol did not cause weight loss. However, the most frequently reported adverse reactions were in the central nervous system and gastrointestinal system. Some of the reported adverse reactions, related to the gastrointestinal system,
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