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Tramadol dosage should be reduced if it must be used in patients receiving opioids. 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'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. Since coming home I have looked up this medication and found that Tramadol can cause problems and should not be prescribed during pregnancy. I have never heard of them using tramadol or cocodamol with the clonidine and subutex. MANAGEMENT: Concomitant use of tramadol and other opioids should be avoided in general.

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