Ultram, also known by its generic name tramadol, is a prescription medication primarily used to manage moderate to moderately severe pain. As an opioid analgesic, Ultram works by binding to opioid receptors in the brain, thereby altering the perception of pain and blocking the transmission of pain signals. In addition to its opioid effects, Ultram also inhibits the reuptake of serotonin and norepinephrine, which can contribute to its pain-relieving properties. This dual mechanism of action makes Ultram effective for various types of pain, including musculoskeletal pain, neuropathic pain, and post-operative pain.