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Tramadol is a centrally acting analgesic used for moderate pain and has both opioid and serotonin/norepinephrine effects. Prescribers review seizure risk, antidepressant use, and other medications because tramadol can contribute to serotonin syndrome or lower the seizure threshold. Dosing is individualized, and patients are monitored for side effects like dizziness, nausea, and mood chang...

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