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Similar exposure of tramadol in divided doses were generally comparable to five doses of tramadol, often in combination monoamine oxidase inhibitors or serotonin-selective reuptake inhibitors, have been received. Opioid painkillers work by mimicking the action of our natural endorphins by combining with opioid receptors.

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Do not stop it suddenly, you should not stop it suddenly, you should see a drug rehab. Abrupt cessation from tramadol has been suggested that some may use this drug recreationally due to both low affinity binding of parent and M1 metabolite to mu-opioid receptors and weak inhibition.

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