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DESIGN: Retrospective cohort and case-control studies.

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If yes, how does it compare to other opioid on mg per mg bases if possible?

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Tramadol (Ultram) is 50 mg here too and I've been on it for a few years but take it with different pills and either one or two depending on the severity of the pain.

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Use of tramadol in conjunction with sedative/hypnotics in patients over 75 years of age will be reviewed as these patients may be more sensitive to the additive effects of this drug combination.

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