Cryptic crossword clue
An extra pill ultimately working as tension-reducer 8

The most common and most likely answer to this crossword clue is the 8 letter word RELAXANT

I've seen this crossword clue in Financial Times
R
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L
A
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Buddy explains!

The straight part
We know that "tension-reducer" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case tension-reducer = relaxant.
The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.
This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.

What does RELAXANT mean?

RELAXANT noun
  1. A drug or other agent that promotes relaxation.

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