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Metabolism: This product can be a metabolite of tramadol. Tramadol is metabolized in the liver because of the enzyme CYP2D6 to type O-DSMT. This metabolite has a longer half-lifestyle than tramadol, resulting in extended consequences.O-Desmethyltramadol far more generally known as O-DSMT is an opioid analgesic, often known as the active metabolite