Metabolism: This product or service is actually a metabolite of tramadol. Tramadol is metabolized while in the liver with the enzyme CYP2D6 to form O-DSMT. This metabolite has an extended half-existence than tramadol, leading to extended effects.O-Desmethyltramadol a lot more usually often known as O-DSMT is surely an opioid analgesic, called the E… Read More