What is the generic name of Ultram?

A. Hydrocodone bitartrate with acetaminophen is the generic composition for brands such as Vicodin or Norco. This combination couples a semi-synthetic phenanthrene opioid with a non-opioid analgesic. It is chemically and pharmacologically distinct from the compound found in Ultram. B. Tramadol is the generic name for Ultram, a centrally acting analgesic. It possesses a dual mechanism of action by binding to mu-opioid receptors and inhibiting the reuptake of norepinephrine and serotonin. This provides efficacy for moderate to moderately severe pain. C. Ibuprofen is a non-selective cyclooxygenase inhibitor and the generic name for Advil or Motrin. It belongs to the nonsteroidal anti-inflammatory drug class and lacks central opioid receptor affinity. It does not represent the active pharmaceutical ingredient found in Ultram. D. Morphine sulfate (ER) is the generic name for MS Contin, a potent natural opium alkaloid. It functions as a pure mu-opioid agonist without the monoamine reuptake inhibition seen in tramadol. It is used for severe chronic pain management, unlike Ultram.