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Tramadol dosage should be reduced if it must be used in patients receiving opioids. I've had plenty of prescriptions for Vicodin and other pain pills and I never had the addiction problems with them that I had with tramadol. I'd prefer to not need anything, but for me, Tramadol is the most benign of the choices available to me. I have tolerated the Tramadol very well these past two days, no side effects, however, after doing a little research, I'm concerned. In true addict fashion, I stopped the Zoloft, and kept on with the Tramadol.

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