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MANAGEMENT: Concomitant use of tramadol and other opioids should be avoided in general. Tramadol, known technically as an opioid analgesic, is a narcotic pain reliever. It is a shame, because, like I said, I've had no side effects with the Tramadol. When they first came out with tramadol a few years ago the drug salesman lied to my GP, told her there was virtually no chance of dependency with this new "miracle" drug. Tramadol dosage should be reduced if it must be used in patients receiving opioids.

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