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Tramadol is a morphine-like pain reliever that is considered an opioid. Tramadol is not covered by the Opium Act, in contrast to the slightly heavier opiates / opioids such as morphine and methadone.

Tramadol is a strong pain reliever depending on the dose. Prescribed for severe pain, such as after injury, surgery, or from cancer. Also with nerve pain and joint pain from osteoarthritis. It is also occasionally prescribed for premature ejaculation, if other medicines do not work.

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Opioids like tramadol have many side effects. Most side effects with opioid use are strongest in the first week and gradually disappear over time. Nausea, constipation, vertigo (vertigo), excessive sweating and drowsiness (sedation) are common. Sometimes delusions or hallucinations can occur. The trick is to dose in such a way that a good balance is achieved between pain relief and side effects, with the expected build-up of tolerance in mind. As an indication, the starting dose is usually between 50 and 100 milligrams depending on the severity of the pain and body weight.

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Tolerance occurs after long-term use of any opioid; over time, a higher dose is needed to achieve the desired effect (usually analgesia) than in the beginning. Withdrawal from use of any opioid occurs. Once someone has “kicked off”, the tolerance has disappeared, so the normal starting dose can be started again the next time. Tramadol is slower and less effective than morphine, making it less interesting for drug users.

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