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Get 10% Discount Apply Coupon Code "USA10" Tramadol is special in that, like several antidepressants, it also functions as a serotonin and norepinephrine reuptake inhibitor. Its ability to function in two ways could be a factor in how well it manages some forms of pain. Tramadol can, however, also be abused and lead to dependence, particularly when taken excessively or improperly. When used in large quantities, it might have adverse effects such respiratory depression, constipation, nausea, dizziness, and sleepiness.

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