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Tapentadol is a centrally acting analgesic that's used to manage moderate to severe pain. It's a bit unique because it has a dual mechanism of action: it works as both an opioid agonist and a norepinephrine reuptake inhibitor. This means it binds to opioid receptors in the brain and spinal cord, altering the perception of pain, and it also increases the levels of norepinephrine, a neurotransmitter that can help reduce pain signals. 

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