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    Q: I have been on tramadol for 3-4 years now, and I am taking 300 to 400 mg per day. Is this harmful for my health? A: Chronic pain can be difficult to manage and if the cause of the pain is unable to be treated, the symptoms of pain may be well-controlled with the use of Ultram (tramadol) which is a medication used to manage moderate to severe pain. Ultram (tramadol) is eliminated mostly through the kidneys, but also goes through the liver, so your doctor should periodically monitor their function. Ultram (tramadol) was developed as an answer to avoiding dependence to pain medication, which opiates can have, but studies have found that the metabolite (what the drug turns into) of Ultram (tramadol) can also create some dependence by the user. Ultram (tramadol) does not help reduce the cause of pain. It just blocks the signal from going to the brain that causes the body to feel pain.
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