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(ODT) Tramadol, cytochrome 2D6 synthetic opioid, P450 enzyme (CYP 2D6) is metabolized in the liver to produce O-demethyltramadol, a small molecule (or "metabolite"). ODT analgesia has been increased two to four times in the induction of tramadol, has not been successful metabolism. ODT means that the block signal of these pain receptors is a better bond, ie there is a higher 200-fold tramadol non-metabolism higher opioid receptor affinity.
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