This explains it better I think:
http://en.wikipedia.org/wiki/CYP2D6
click on any blue fonted drug and it will explain in its own wiki article:
tramadol:
http://en.wikipedia.org/wiki/Tramadol
It is not as simple as your quote... since tramadol is metabolized by 3 different enzymes.
Quote:
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Tramadol undergoes hepatic metabolism via the cytochrome P450 isozyme CYP2B6, CYP2D6 and CYP3A4, being O- and N-demethylated to five different metabolites.
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Weezie looking at petunias 8.25.2017
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