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In patients who have been previously dependent on or chronically using opioids, tramadol can also reinitiate physical dependence or precipitate withdrawal symptoms. 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. MANAGEMENT: Concomitant use of tramadol and other opioids should be avoided in general. I googled Tramadol and came across this site and thought those with experience with the drug would provide the best 'real life' information. It is a shame, because, like I said, I've had no side effects with the Tramadol. I just didn't want you to be scared off from Tramadol because of the horror stories you read here.

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