The subsequent checklist offers some identified harmful interactions (even though it isn't guaranteed to involve all of them).Flipping the route from the R2 and R1 bonds leads to the R- and S- enantiomers of O-Desmethyltramadol. O-DMST is nearly just like tramadol, and is named for the lack of the methyl team of tramadol's R3 methoxy substituion. P