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Tramadol dosage should be reduced if it must be used in patients receiving opioids. MANAGEMENT: Concomitant use of tramadol and other opioids should be avoided in general. Sick as a dog for the first couple tramadol-free days, felt like h*ll for a few more days, but I'll live. I have a painful chronic medical condition and have found tramadol to be the most effective and long lasting drug I can take to manage the pain. 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. I have been taking Tramadol for quite some time now (over a year), as directed, and get nothing but pain relief out it anymore.

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