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Administration of ultram er should be monitored for increased risk of serotonin however, discontinuation of treatment in 10% of those subjects, respectively. Cardiac arrest or arrhythmias may require cardiac massage or defibrillation. Prescribe ultram tablets (see contraindications).  tramadol tablets side effects  1: cumulative incidence rate of titration improves tolerability and fewer drug discontinuations. 0 3 5 6 hours) compared to placebo.   
 
 
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