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Anyways, sorry if I flew off on a tangent thinking you were new to the game.

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Take tramadol exactly as directed.

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I have suffered several disc prolapses in both lower lumbar and cervical area, I now have multiple spurs growing and so much bony overgrowth on spine it was impossible for aneathitist to get needle in between vertebrae to administer pain relief so I have to take 300mg split into 3 doses over 24 hrs, I now find I cannot function without them , if I miss one dose i cannot move and pain is unbearable , however you are quite correct I do experience constipation, and sometimes in the afternoon after 2nd dose i feel quite lethargic but other than this I have had no major symptoms but I shall read the list of contra-indications more carefully in future, hpoe you are recovering a little better each day .

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