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Tramadol + Paracetamol + Serratiopeptidase is a combination of three medicines: Tramadol + Paracetamol + Serratiopeptidase1, Tramadol + Paracetamol + Serratiopeptidase2 and Tramadol + Paracetamol + Serratiopeptidase3. Tramadol + Paracetamol + Serratiopeptidase1 is an opoid analgesic (pain reliever) which works by blocking transmission of pain signals to the brain to lower pain perception. Tramadol + Paracetamol + Serratiopeptidase2 is an analgesic and anti-pyretic (fever reducer) which works by blocking the release of certain chemical messengers that cause pain and fever. Tramadol + Paracetamol + Serratiopeptidase3 is an enzyme which works by breaking down abnormal proteins at the site of inflammation, and promotes healing.