Tramal Plus Tablets 37.5mg + 325mg – Prescription Pain Relief for Moderate to Severe PainTramal Plus Tablets 37. 5mg + 325mg Tramal Plus Tablets 37. 5mg + 325mg combine two powerful ingredients, Tramadol Hydrochloride and Paracetamol, to provide effective relief from moderate to severe pain. This prescription only medicine acts on the central nervous system to reduce pain perception and improve patient comfort. Tramadol is an opioid analgesic that binds to opioid receptors in the brain to relieve pain while also enhancing serotonin and