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Personally, I am lucky enough to get about the same pain relief from Tramadol as I did from Percocets without the negative side effects of oxydodone. I have never heard of them using tramadol or cocodamol with the clonidine and subutex. Since coming home I have looked up this medication and found that Tramadol can cause problems and should not be prescribed during pregnancy. When they first came out with tramadol a few years ago the drug salesman lied to my GP, told her there was virtually no chance of dependency with this new "miracle" drug. Tramadol dosage should be reduced if it must be used in patients receiving opioids. In patients who have been previously dependent on or chronically using opioids, tramadol can also reinitiate physical dependence or precipitate withdrawal symptoms.

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