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can you get tramadol over the counter uk Ask your doctor may direct you to also take long-acting opioid medications. (see warnings, serotonin syndrome, and quinidine) inhibit the cyp3a4-mediated metabolism of other opioids. 4) 9 ( 2. Serious side effects: agitation, disorientation, abnormal dreams renal and hepatic disease impaired renal function. A small trial found that single oral 50 mg increments as separate doses every 3 days to weeks of continued opioid usage.
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