Similar to other opioids, tramadol selectively binds to various opiate receptors within the central anxious system (CNS) due to its opioid nature. The liver enzyme CYP2D6 converts tramadol to its Lively metabolite M1, which has a much better affinity for that mu receptor compared to inactive kind. The M1 metabolite https://lorenzowjuem.shotblogs.com/5-essential-elements-for-225-mg-tramadol-46266803