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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. Tramadol can pass into breast milk and may harm a nursing baby. 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. Tramadol should not be used in opioid-dependent patients, and use in patients who are chronically on opioids is also not recommended. 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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