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Other preparations, such as Ryzolt, have tramadol in an extended-release form and are intended to manage moderate to severe pain in patients who need continuous, around-the-clock relief. Tramadol should be taken as prescribed, with no more than 300 mg in one day. Tramadol should not be stopped suddenly, or side effects from withdrawal could occur, including anxiety, sweating, nausea, diarrhea, tremors, chills, hallucinations, trouble sleeping, and breathing problems. For more information, please consult with your health care practitioner and visit //www.everydayhealth.com/drugs/tramadol. Michelle McDermott, PharmD
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