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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. I have not needed the Tramadol for the past 4 days. 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. I've had plenty of prescriptions for Vicodin and other pain pills and I never had the addiction problems with them that I had with tramadol. Tramadol can pass into breast milk and may harm a nursing baby.

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