An analgesic ‘X’ acts through opioid as well as additional spinal monoaminergic mechanisms. Which of the following can be ‘X’?

Correct Answer: Tramadol
Description: -Tramadol and tapendadol have additional analgesic mechanisms apa from activation of opioid receptors. -These drugs increase release of serotonin in spinal cord and strengthen the descending inhibitory pathway.
Category: Pharmacology
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