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Q: What are the common Ultram side effects? A: Ultram (tramadol) is a centrally acting synthetic opioid analgesic. Ultram is not a narcotic pain reliever and not classified as a controlled substance. The mechanism of action of Ultram is not fully understood. The action of Ultram is similar to narcotic pain relievers. Ultram is indicated for the management of moderate to moderately severe pain in adults 17 years of age and over.
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