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Paracetamol + Tramadol + Taurine + Caffeine is a combination of four medicines : Tramadol, Paracetamol, Caffeine and Taurine. Tramadol is an opioid analgesic ( very strong pain reliever) which works by blocking transmission of pain signals to the brain to lower the pain perception. Paracetamol is an analgesic (pain reliever) as well as an antipyretic (fever reducer). It blocks the release of certain chemical messengers in the brain that are responsible for pain and fever. Caffeine increases the effectiveness of Paracetamol and makes you more alert. Taurine is an amino acid that possesses antioxidant properties. It works by protecting the various organs such as kidneys from damage by harmful chemicals called free radicals. Additionally, it helps the body to use proteins for the repair and growth of the damaged tissues too.