See also Warning section. This product is used to help relieve moderate to severe acute pain. It is for use by people who cannot take or who do not get pain relief from non-opioid analgesics (such as acetaminophen or ibuprofen). This medication contains 2 ingredients: tramadol and celecoxib. Tramadol belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. Celecoxib is known as a nonsteroidal anti-inflammatory drug (NSAID), specifically a COX-2 inhibitor. It works by blocking the enzyme in your body that makes prostaglandins. Decreasing prostaglandins helps to reduce pain and swelling. View More Info

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