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With the prolonged half-life in these conditions, achievement of steady-state is delayed, so that it tramadol may take several days for elevated plasma concentrations to develop .
Information for Patients • Patients should be informed that ULTRAM® may cause seizures and/or serotonin syndrome with concomitant use of serotonergic agents (including SSRIs, SNRIs, and triptans) or how many tramadol to overdose and die tramadol 50 mg urban dictionary tramadol controlled florida drugs that significantly reduce the metabolic clearance of tramadol .
• ULTRAM® may impair mental or physical abilities required for the performance of potentially tramadol hydrochloride sustained release tablets tramadol and oxycontin high tramadol hydrochloride hazardous tasks such as driving a car or operating machinery .
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• The patient should be instructed to inform the physician tramadol if they are pregnant, think they might become pregnant, or are trying to become pregnant (see PRECAUTIONS, Labor and Delivery) .
• The patient should understand the single-dose and 24-hour dose limit and the time interval between doses, since exceeding these recommendations can tramadol result in respiratory depression, seizures and death .

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