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About Me:	It is necessary to talk about these adverse effects with your doctor prior to beginning treatment as they can get worse with greater doses or with medicine interactions. If you begin this drug slowly and also at a lower dosage as routed by your doctor, it might aid to decrease adverse effects at the start of treatment. If you have any of side results that are extreme or concerning to you, call your health care service provider. In many people, tramadol is well-tolerated when used for discomfort,