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Oltram 50 contains generic Tramadol hydrochloride which used to decrease moderate to severe pain. Oltram 50mg Tablet is a strong pain killer. Tramadol works by affecting chemicals in the brain and nervous system which is involved in the sensation of pain. Oltram 50 is also effective in the treatment of nerve pain and various other types of severe pain. But we should consult a healthcare professional before taking Oltram 50. Take Oltram 50mg as directed by physicians. You can take Oltram 50 with or without food.