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Tramadol should not be used in opioid-dependent patients, and use in patients who are chronically on opioids is also not recommended. Tramadol, known technically as an opioid analgesic, is a narcotic pain reliever. I just didn't want you to be scared off from Tramadol because of the horror stories you read here. Since coming home I have looked up this medication and found that Tramadol can cause problems and should not be prescribed during pregnancy. In patients who have been previously dependent on or chronically using opioids, tramadol can also reinitiate physical dependence or precipitate withdrawal symptoms.

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