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Tramadol dosage should be reduced if it must be used in patients receiving opioids. I have never heard of them using tramadol or cocodamol with the clonidine and subutex. 5mgs tramadol HCI 325mg paracetamol in the tablet form called Ultracet, I was also given midazolam and buscopan. Sick as a dog for the first couple tramadol-free days, felt like h*ll for a few more days, but I'll live. Tramadol can pass into breast milk and may harm a nursing baby.

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