Metabolism: This item is actually a metabolite of tramadol. Tramadol is metabolized while in the liver because of the enzyme CYP2D6 to sort O-DSMT. This metabolite has a longer fifty percent-daily life than tramadol, resulting in prolonged results.O-Desmethyltramadol a lot more generally often called O-DSMT is surely an opioid analgesic, often know… Read More