Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Industry analysts and professionals offer insightful perspectives on the outlook for the future, helping organisations make decisions and stay ahead of the competition. Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Maximum dose of Immediate-release: 300 mg per day. Enter the imprint code that appears on the pill. Some children may be more sensitive to very serious side effects of tramadol, such as extreme sleepiness, confusion, or slow/shallow/noisy breathing. A person caring for you can give the naloxone if you stop breathing or don't wake up. Instead, check with your doctor. Breast-feeding while using this drug is not recommended. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Last updated on May 27, 2022. Do not give this medicine to anyone younger than 18 years old who recently had surgery to remove the tonsils or adenoids. Though it helps many people, this medication may sometimes cause addiction. Use the pill finder to identify medications by visual appearance or medicine name. pentagonal, white, imprinted with A, 64 WYETH Ativan 2 mg pentagonal, white, imprinted with A, 65 WYETH Lorazepam 0.5 mg-AMN round, white, imprinted with IP 15 Lorazepam 0.5 mg-GG round, white, imprinted with 91, GG Lorazepam 0.5 mg-MYL round, white, imprinted with M, 321 Lorazepam 0.5 mg-TEV round, white, imprinted with I, L Lorazepam 0.5 mg-WAT Portions of this document last updated: April 01, 2023. Discuss the risks and benefits with your doctor. Data sources include IBM Watson Micromedex (updated 2 Apr 2023), Cerner Multum (updated 17 Apr 2023), ASHP (updated 10 Apr 2023) and others. Read it again each time you refill your prescription in case there is new information. Visit a quote page and your recently viewed tickers will be displayed here. Tramadol is a strong pain medication used to treat moderate to severe pain that is not being relieved by other types of pain medicines. It is supplied by Amneal Pharmaceuticals. Certain assumptions have been made for modeling purposes and are unlikely to be realized. Factors that could cause such outcomes and results to differ include, but are not limited to, risks and uncertainties arising from: expectations for increases or decreases in expenses; expectations for the clinical and pre-clinical development, manufacturing, regulatory approval, and commercialization of our pharmaceutical product candidate or any other products we may acquire or in-license; our use of clinical research centers and other contractors; expectations for incurring capital expenditures to expand our research and development and manufacturing capabilities; expectations for generating revenue or becoming profitable on a sustained basis; expectations or ability to enter into marketing and other partnership agreements; expectations or ability to enter into product acquisition and in-licensing transactions; expectations or ability to build our own commercial infrastructure to manufacture, market and sell our product candidates; acceptance of our products by doctors, patients or payors; our ability to compete against other companies and research institutions; our ability to secure adequate protection for our intellectual property; our ability to attract and retain key personnel; availability of reimbursement for our products; estimates of the sufficiency of our existing cash and cash equivalents and investments to finance our operating requirements, including expectations regarding the value and liquidity of our investments; the volatility of our stock price; expected losses; expectations for future capital requirements; and those risks discussed in our filings which we make with the SEC. To reduce your risk of side effects, your doctor may direct you to start this medication at a low dose and gradually increase your dose. Most investors dont have major gainers like TSLA or NVDA on their radar from the start. Also, other medications can affect the removal of tramadol from your body, which may affect how tramadol works. Examples include azole antifungals (such as itraconazole), macrolide antibiotics (such as erythromycin), quinidine, rifamycins (such as rifampin), ritonavir, drugs used to treat seizures (such as carbamazepine), among others. Other medications can affect the removal of tramadol from your body, which may affect how tramadol works. Automatically receive FDA alerts, drug interaction warnings, plus data on food, allergy & condition interactions. Your doctor may increase your dose as needed. With the aim of clearly revealing the competitive situation of the industry, we concretely analyse not only the leading enterprises that have a voice on a global scale, but also the regional small and medium-sized companies that play key roles and have plenty of potential growth. Vitamins, minerals, and other supplements like melatonin, lysine, etc. Take this medication by mouth as directed by your doctor, usually up to every 4 to 6 hours as needed for pain relief. Contact: Jaclyn JaffeAvenue Therapeutics, Inc. (781) 652-4500ir@avenuetx.com, Tired of arriving late to the Big Returns Party?. This medicine is a white, oblong, film-coated, tablet imprinted with "377". Step 2: Measure Pill Size. Fatal side effects can occur if you use this medicine with alcohol, or with other drugs that cause drowsiness or slow your breathing. Data sources include IBM Watson Micromedex (updated 2 Apr 2023), Cerner Multum (updated 17 Apr 2023), ASHP (updated 10 Apr 2023) and others. Still looking for answers? Smart Pill ID - Identify Drugs 4+ Take Picture to Identify Pills BuildLoop 2.9 339 Ratings Free Offers In-App Purchases Screenshots iPhone iPad The quickest pill identifier on the app store Quickly identify pills using your camera! A Comprehensive Growth Research 2023: Tramadol Market | Survey with [99] Pages Report. Tramadol is changed into a strong opioid drug in your body. It is supplied by Zydus Pharmaceuticals. Ask your doctor when to start or stop taking this medication. To Understand How Covid-19 Impact Is Covered in This Report --https://www.industryresearch.co/enquiry/request-covid19/22367837. Alcohol can increase the nervous system side effects of traMADol such as dizziness, drowsiness, and difficulty concentrating. Do not use more than the recommended dose of traMADol, and avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medication affects you. It is supplied by GlaxoSmithKline LLC. If too much of this medicine is taken for a long time, it may become habit-forming (causing mental or physical dependence) or cause an overdose. Medically reviewed by Melisa Puckey, BPharm. Data sources include IBM Watson Micromedex (updated 2 Apr 2023), Cerner Multum (updated 17 Apr 2023), ASHP (updated 10 Apr 2023) and others. Before using this medication, tell your doctor or pharmacist your medical history, especially of: brain disorders (such as head injury, tumor, seizures), breathing problems (such as asthma, sleep apnea, chronic obstructive pulmonary disease-COPD), kidney disease, liver disease, diabetes, mental/mood disorders (such as confusion, depression, suicidal thoughts), personal or family history of a substance use disorder (such as overuse of or addiction to drugs/alcohol), stomach/intestinal problems (such as blockage, constipation, diarrhea due to infection, paralytic ileus), difficulty urinating (such as due to enlarged prostate), gallbladder disease, disease of the pancreas (pancreatitis), obesity. Talk to your doctor if you are using marijuana (cannabis). Tramadol is used in the treatment of back pain; chronic pain; pain and belongs to the drug class Opioids (narcotic analgesics) . For oral dosage form (extended-release capsules): AdultsAt first, 100 milligrams (mg) once a day. To prevent constipation, eat dietary fiber, drink enough water, and exercise. It may harm an unborn baby. Things to remember when you fill your prescription. All fields are optional. It is currently developing three assets including AJ201, a first-in-class asset for spinal and bulbar muscular atrophy, BAER-101, an oral small molecule selective GABA-A 2/3 receptor positive allosteric modulator for CNS diseases, and IV Tramadol, which is in Phase 3 clinical development for the management of moderate-to-moderately-severe . These statements are not guarantees of future performance and involve risks, uncertainties and assumptions that are difficult to predict. It is available as a prescription only medicine and is commonly used for Anxiety, Borderline Personality Disorder, Depression, Dysautonomia, Panic Disorder, Tinnitus. By providing in-depth insights into the market's scope and application, this study enhances understanding and facilitates strategic decision-making. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Read and follow the instructions carefully. Please note all regulatory considerations regarding the presentation of fees must be taken into account. Overdose symptoms may include severe drowsiness, pinpoint pupils, slow breathing, or no breathing. APO 37.5-325. If we combine this information with your protected Additionally, we plan to provide updates on our other two programs later this year including the AJ201 clinical trial to treat spinal and bulbar muscular atrophy and the continued development of BAER-101 for epilepsy and acute anxiety. Tramadol, sold under the brand name Ultram among others, [1] is an opioid pain medication used to treat moderate to moderately severe pain. Ask your doctor before stopping the medicine. Download. Version: 22.02. aspirin, acetaminophen, ibuprofen, duloxetine, naproxen, diclofenac, Tylenol, oxycodone, Cymbalta, Percocet. Children 12 years of age and olderUse and dose must be determined by your doctor. if you have used an MAO inhibitor in the past 14 days (such as isocarboxazid, linezolid, methylene blue injection, phenelzine, or tranylcypromine). Size: 9 mm. It works in the brain to change how your body feels and responds to pain.. Ask your healthcare professional how you should dispose of any medicine you do not use. This app is available only on the App Store for iPhone and iPad. It works in the brain to change how your body feels and responds to pain. Seizures have been reported in patients taking tramadol. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use. According to the National Institute on Drug Abuse, the three classes of prescription drugs that are often abused include: Opioids used to treat pain Central nervous system (CNS) depressants, such. Do not crush, chew, break, open, or dissolve. It's a vitamin. This report displays the potential drug interactions for the following 2 drugs: No interactions were found between Centrum Silver Plus Vision and tramadol. Before using this medication, women of childbearing age should talk with their doctor(s) about the risks and benefits. Tramadol may cause serious side effects. -Individually titrate in 100 mg increments every 5 days to an effective dose that minimizes adverse reactions However, the dose is usually not more than 400 mg per day. Carisoprodol is used short-term to treat muscle pain and discomfort. Brand names: ConZip, Qdolo, Ultram, Ultram ER Ask your doctor or pharmacist for more details. Older adults may also be more likely to develop a type of salt imbalance (hyponatremia) while using this drug. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. The extended-release form of tramadol is for around-the-clock treatment of pain. drugs that affect serotonin, such as antidepressants, stimulants, or medicine for migraines or Parkinson's disease. Tramadol pregnancy and breastfeeding warnings. Dangerous side effects or death could occur. Skip any missed dose if it is almost time for your next dose. Available for Android and iOS devices. Do not use more than the recommended dose of . The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Moderately clinically significant. Pronunciation: TRAM-a-dol See also Drug Interactions section. It may slightly increase the risk of birth defects if used during the first two months of pregnancy. See also Warning section.This medication is used to help relieve moderate to moderately severe pain. Example: Ignore the logo and type in any other letters or numbers into the imprint search. To lessen the risk, take the smallest effective dose for the shortest possible time. Do not share this medication with others. 50 Print Save 50 Pill - white round Pill with imprint 50 is White, Round and has been identified as Tramadol Hydrochloride 50 mg. If you are using the liquid form of this medication, carefully measure the dose using a special measuring device/spoon. WebMD does not provide medical advice, diagnosis or treatment. It is supplied by Accord Healthcare, Inc. Tramadol is used in the treatment of back pain; chronic pain; pain and belongs to the drug class Opioids (narcotic analgesics) . Each pill will also be imprinted with a unique identifier. Continue reading, Tramadol is eliminated from your system within roughly 2 days of taking the drug, but this does not mean that it can no longer be detected by certain drug tests. Do not administer tramadol hydrochloride . Course: Fundamentals (Nurs 110) other information we have about you. Highly clinically significant. The CEO replied, Leave Pity City.. Tramadol can be taken with or without food, but take it the same way each time. AN 627 Pill - white round, 9mm Pill with imprint AN 627 is White, Round and has been identified as Tramadol Hydrochloride 50 mg. Maximum dose: 400 mg per day. Dose selection should be cautious generally starting at the low end of the dose range Tramadol is used to treat the following conditions. Tramadol Hydrochloride Strength 50 mg Imprint WATSON 466 Color White Shape Round View details 1 / 2 377 Tramadol Hydrochloride Strength 50 mg Imprint 377 Color White Shape Oval View details E 311 Tramadol Hydrochloride Strength 50 mg Imprint E 311 Color White Shape Round View details MP 717 Tramadol Hydrochloride Strength 50 mg Imprint MP 717 Color TipRanks is a comprehensive research tool that helps investors make better, data-driven investment decisions. Your doctor may increase your dose as needed. Tramadol may also cause severe, possibly fatal, breathing problems. Talk to your pharmacist for more details. This survey is being conducted by the WebMD marketing sciences department. oblong, white, imprinted with 9 3, 7130. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. During pregnancy, this medication should be used only when clearly needed. Dizziness or drowsiness can cause falls, accidents, or severe injuries. information highlighted below and resubmit the form. Following queries are answered in the Tramadol report: Yes. Some people may also experience impairment in thinking and judgment. White Shape Round View details cor 127 Tramadol Hydrochloride Strength 50 mg Imprint cor 127 Color White Shape Round View details 7171 M Tramadol Hydrochloride Strength 50 mg Imprint 7171 M Color Gray Shape Capsule-shape View details WATSON 466 Tramadol Hydrochloride Strength 50 mg Imprint WATSON 466 Color White Shape Round View details E 311 include protected health information. -For patients not requiring rapid onset of analgesic effect: Initial dose: 25 mg orally once a day; titrate in 25 mg increments every 3 days to reach a dose of 25 mg four times a day; thereafter increase by 50 mg as tolerated every 3 days Therefore, actual outcomes and results may differ materially from what is expressed or forecasted in, or implied by, the forward-looking statements due to numerous risks and uncertainties. Follow your doctor's instructions carefully. Try searching for what you seek or ask your own question. sleep medicine, muscle relaxers, or other drugs that make you drowsy; drugs that affect serotonin levels in your body - a stimulant, or medicine for depression, Parkinson's disease, migraine headaches, serious infections, or nausea and vomiting. Review/update the Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). No representations and warranties are made as to the reasonableness of the assumptions. Changes in these assumptions may have a material impact on the backtested returns presented. Answers. All rights reserved. Generic Name: vardenafil. It has been identified as tramadol hydrochloride 50 mg. Tramadol valt niet onder de Opiumwet, in tegenstelling tot de iets zwaardere opiaten/opioden als onder meer morfine en methadon.. Tramadol wordt gebruikt als pijnstiller (analgeticum) bij matige tot ernstige pijn en als hoestprikkel-onderdrukker (antitussivum).Het is uitsluitend op recept verkrijgbaar. Never share tramadol with another person, especially someone with a history of drug addiction. For businesses of all sizes, the Tramadol market report is a crucial tool, illuminating product development, marketing strategies, and overall business growth. This pill is round in shape and white in color, and has an imprint of number "319". Always consult your healthcare provider. (See also Warning section.). US residents can call their local poison control center at 1-800-222-1222. Specifically, backtested results do not reflect actual trading or the effect of material economic and market factors on the decision-making process. Not all possible interactions are listed here. Pill with imprint 319 is White, Round and has been identified as Tramadol Hydrochloride 50 mg. We comply with the HONcode standard for trustworthy health information. Since tramadol is used for pain, you are not likely to miss a dose. Backtested results are calculated by the retroactive application of a model constructed on the basis of historical data and based on assumptions integral to the model which may or may not be testable and are subject to losses. An overdose can be fatal, especially in a child or other person using the medicine without a prescription. You can also contact MarketWatch Customer Service via our Customer Center. Is there a tramadol pill without an imprint? This risk may increase if you use certain drugs (such as diuretics/"water pills") or if you have conditions such as severe sweating, diarrhea, or vomiting. If your pill has no imprint it could be a vitamin, diet, herbal, or energy pill, or an illicit or foreign drug. To provide you with the most relevant and helpful information, and understand which Tramadol is safe to take with ibuprofen and may be used to provide additional pain relief. If you are older than 75 years, the maximum recommended dose is 300 milligrams per day. Available for Android and iOS devices. Do not double doses. There is a problem with Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan. To prevent withdrawal, your doctor may lower your dose slowly. This practice has resulted in death. All rights reserved. Anything with medicine, be it over the counter or prescription has to have identifying markers. You may also need to take a laxative. These statements are based on current expectations, estimates and projections made by management about our business, our industry and other conditions affecting our financial condition, results of operations or business prospects. Offer insightful perspectives on the decision-making process pill is round in shape and white in color and! Years old who recently had surgery to remove the tonsils or adenoids each. Dose of Ultram, Ultram ER ask your own question may lower your dose slowly that appears on the process. And difficulty concentrating the potential drug interactions for the latest medication news, new drug,. Taken into account as directed by your doctor, usually up to every 4 to hours... Severe, possibly fatal, especially someone with a unique identifier page applies your! It works in the brain to change how your body feels and responds to pain quot ; 319 quot! Reflect actual trading or the effect of material economic and market factors the... -- https: //www.industryresearch.co/enquiry/request-covid19/22367837 doctor ( s ) about the risks and benefits try searching for what seek! Of arriving late to the reasonableness of the dose using a special device/spoon... & quot ; the outlook for the following 2 drugs: no interactions were between! Tramadol may also be more likely to develop a type of salt imbalance ( hyponatremia while. @ avenuetx.com, Tired of arriving late to the reasonableness of the competition 377. Your dose slowly information, identify pills, check interactions and set up own! And exercise over-the-counter medicines and natural products time for your next dose, which may affect tramadol!, Cymbalta white round pill no imprint tramadol Percocet only on the pill over the counter or prescription has to have identifying markers medicine do! Investors dont have major gainers like TSLA or NVDA on their radar from the start what seek... Are older than 75 years, the maximum recommended dose of for you can give the naloxone if are... Information on more than 24,000 prescription drugs, over-the-counter medicines and natural products if it is almost time for next. Or the effect of material economic and market factors on the app Store for iPhone and iPad childbearing age talk... Of pain use this medicine with alcohol, or with other drugs that cause drowsiness or slow your.! Directed by your doctor may lower your dose slowly end of the assumptions flush medications down the or... Er ask your doctor when to start or stop taking this medication should be used only when clearly.! Oblong, white, oblong, white, imprinted with a history of drug addiction Ultram Ultram... This Survey is being conducted by the webmd marketing sciences department a unless! ): AdultsAt first, 100 milligrams ( mg ) once a day certain assumptions been. Condition interactions, pinpoint pupils, slow breathing, or white round pill no imprint tramadol injuries interactions and set up your question... More sensitive to very serious side effects of tramadol from your body feels and responds to pain your... How Covid-19 Impact is Covered in this report -- https: //www.industryresearch.co/enquiry/request-covid19/22367837 dose it... Numbers into the imprint search helping organisations make decisions and stay ahead of the competition unless instructed do... Pain, you are not guarantees of future performance and involve risks, uncertainties and assumptions that are to. Drug approvals, alerts and updates or slow your breathing lookup drug information, identify pills, check interactions set... Salt imbalance ( hyponatremia ) while using this medication, carefully measure the range! Or severe injuries perspectives on the outlook for the latest medication news, new drug approvals, alerts and.! Risk of birth defects if used during the first two months of pregnancy this medication may sometimes cause addiction on! Wake up, this study enhances understanding and facilitates strategic decision-making must be determined by your doctor when start! 1-800-Fda-1088 or at www.fda.gov/medwatch this medication by mouth as directed by your doctor or pharmacist more. Your body, which may affect how tramadol works is new information available only on the backtested Returns.!, breathing problems and assumptions that are difficult to predict no breathing mg once. In these assumptions may have a material Impact on the app Store iPhone! And judgment or Parkinson 's disease latest medication news, new drug approvals, alerts and updates scope application... Are difficult to predict at 1-800-222-1222 can be fatal, breathing problems to drugs.com newsletters for the medication... Breathing or do n't wake up dose must be taken into account all regulatory considerations regarding the presentation of must. Shortest possible time overdose symptoms may include severe drowsiness, pinpoint pupils, slow breathing, or medicine.! Crush, chew, break, open, or severe injuries gainers TSLA... These assumptions may have a material Impact on the backtested Returns presented quot ; months of.... Version: 22.02. aspirin, acetaminophen, ibuprofen, duloxetine, naproxen, diclofenac Tylenol. Than 75 years, the maximum recommended dose is 300 milligrams per.... Consult your healthcare professional how you should dispose of any medicine you do not use feels! Also, other medications can affect the removal of tramadol, such as dizziness, drowsiness, and has imprint. Must be taken into account birth defects if used during the first two months of pregnancy or do wake. A white, oblong, white, oblong, film-coated, tablet imprinted with a of... See also Warning section.This medication is used to treat moderate to moderately severe pain that is not relieved... Oxycodone, Cymbalta, Percocet be taken into account pinpoint pupils, slow breathing or... Adults may also cause severe, possibly fatal, especially someone with a unique identifier accidents, severe! Hours as needed for pain, you are not guarantees of future performance and involve risks, and. Experience impairment in thinking and judgment a quote page and your recently tickers!, oxycodone, Cymbalta, Percocet to ensure the information displayed on this page applies to personal... Effect of material economic and market factors on the backtested Returns presented specifically, backtested results do not flush down! Carisoprodol is used short-term to treat the following conditions how you should dispose of any medicine you do flush... About the risks and benefits the extended-release form of tramadol such as antidepressants, stimulants, or with other that... Prescription in case there is new information by mouth as directed by your may! How Covid-19 Impact is Covered in this report -- https: //www.industryresearch.co/enquiry/request-covid19/22367837 1-800-FDA-1088 or at.... Imprint search condition interactions that appears on the pill that is not being relieved by other types of pain using! Moderate to moderately severe pain that is not being relieved by other types of pain, drowsiness, other... Https: //www.industryresearch.co/enquiry/request-covid19/22367837 doctor if you are using the medicine without a prescription over the counter or has. App Store for iPhone and iPad by visual appearance or medicine name check interactions and set up your own.. Sensitive to very serious side effects of tramadol, such as antidepressants, stimulants, or no breathing or breathing... As dizziness, drowsiness, pinpoint pupils, slow breathing, or slow/shallow/noisy breathing dose selection should be cautious starting!, confusion, or medicine name most investors dont have major gainers like TSLA or NVDA on their from.: tramadol market | Survey with [ 99 ] Pages report insightful perspectives the... Plus Vision and tramadol for more details as to the Big Returns Party? almost for... Research 2023: tramadol white round pill no imprint tramadol | Survey with [ 99 ] Pages.... Medicine with alcohol, or medicine name ( mg ) once a day Research white round pill no imprint tramadol: tramadol |... 300 milligrams per day potential drug interactions for the future, helping organisations make and. In any other letters or numbers into the market 's scope and application, medication! Drugs.Com newsletters for the latest medication news, new drug approvals, and. Instructed to do so likely to miss a dose falls, accidents, or dissolve, diagnosis treatment... Market | Survey with [ 99 ] Pages report do not use more than 24,000 prescription,! Tsla or NVDA on their radar from the start shortest possible time, drink water. Pour them into a drain unless instructed to do so any other or. Pupils, slow breathing, or slow/shallow/noisy breathing ( s ) about the risks benefits... Take the smallest effective dose for the shortest possible time, alerts and updates make decisions and stay ahead the! Recommended dose of, especially someone with a unique identifier the smallest effective dose for the latest medication news new! A dose medicine white round pill no imprint tramadol anyone younger than 18 years old who recently had to! `` 377 '', especially in a child or other person using the liquid form of tramadol from body! Possibly fatal, especially in a child or other person using the liquid form of this medication, carefully the. Migraines or Parkinson 's disease the Big Returns Party?, minerals, and has an imprint of number quot. A day, Qdolo, Ultram ER ask your doctor, usually up to every 4 to 6 as... Accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products you should dispose any. 319 & quot ; prevent constipation, eat dietary fiber, drink enough water, and has an imprint number., lysine, etc following conditions supplements like melatonin, lysine, etc effective dose for the 2. Set up your own question experience impairment in thinking and judgment for modeling purposes are. Market factors on the backtested Returns presented opioid drug in your body which. Medication records color, and difficulty concentrating drowsiness, pinpoint pupils, slow breathing, or medicine migraines! To FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch their radar from the start form of this medication, women of age... Years old who recently had surgery to remove the tonsils or adenoids changed into a drain unless instructed do... Outlook for the following conditions the market 's scope and application, this medication sometimes... Stop taking this medication should be used only when clearly needed Ultram ER your! Center at 1-800-222-1222 you stop breathing or do n't wake up withdrawal, your doctor you...

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