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Like all opioids, tramadol can lead to dependence and addiction if misused. It is important for it to be prescribed and monitored by a healthcare professional. Common side effects include nausea, dizziness, dry mouth, constipation, and headache. More serious risks include seizures, increased risk of serotonin syndrome, and respiratory depression, especially when taken in high doses or combined with other depressants.

Tramadol is considered a controlled substance in many countries due to its potential for abuse and dependence. It should be used with caution, following the dosage and duration prescribed by a healthcare provider.

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