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Is tramadol an antidepressant? Tramadol is not primarily an antidepressant, but it may have some antidepressant effects due to its influence on neurotransmitters like serotonin and norepinephrine. It is primarily prescribed for pain relief, but in some cases, it may be used off-label to manage certain types of depression. However, dedicated antidepressant medications are typically preferred for treating depression. Consult a healthcare provider for proper evaluation and treatment recommendations.