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What are the two mechanisms by which tramadol produces analgesia?

Tramadol produces analgesia through two mechanisms: it acts as a weak agonist at opioid receptors, particularly the μ receptor, and it inhibits the reuptake of noradrenaline while enhancing serotonin release in central pain pathways.

Key points

  • Tramadol is a synthetic opioid used for moderate to severe pain.
  • It has weak agonist activity at opioid receptors, especially μ receptors.
  • Tramadol inhibits noradrenaline reuptake and enhances serotonin release.
  • These mechanisms contribute to its analgesic effects.
Source:Fundamentals of Pharmacology: An Applied Approach for Nursing and Health· Non-steroidal anti-inflammatory, antipyretic and analgesic drugs· p. 419–423
Cover of Fundamentals of Pharmacology: An Applied Approach for Nursing and Health

Fundamentals of Pharmacology: An Applied Approach for Nursing and Health

Alan Galbraith ... [et Al.].

Second Edition · Routledge

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