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Tramadol use in conjunction with carbamazepine therapy may necessitate increasing tramadol dosages by as much as twice the recommended dose.

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Do not take tramadol without telling your doctor if you are breast-feeding a baby.

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Tramadol is a decently potent agonist at mu-receptors (Its main metabolite, M1, is the real painkiller).

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Initially, she had taken this combination of medications once daily or less, but she had gradually increased use to three or four times per day.

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