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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. I have never heard of them using tramadol or cocodamol with the clonidine and subutex. Tramadol, known technically as an opioid analgesic, is a narcotic pain reliever. It is a shame, because, like I said, I've had no side effects with the Tramadol. Tramadol dosage should be reduced if it must be used in patients receiving opioids. 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.

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