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Tramadol is a narcotic painkiller widely prescribed to treat moderate to severe pain. Buy Tramadol Online if you are in moderate to severe pain, such as chest pain, cancer pain, or surgery pain. Doctors typically prescribe Tramadol as a pain reliever when other pain medications are ineffective. Tramadol (generic version) contains the active ingredients acetaminophen and paracetamol. Ultrum is the generic name for this medication, available in both immediate and extended-release formulations. Tramadol takes effect within one hour, and the active duration of the drug is three to four hours.