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When they first came out with tramadol a few years ago the drug salesman lied to my GP, told her there was virtually no chance of dependency with this new "miracle" drug. I have a painful chronic medical condition and have found tramadol to be the most effective and long lasting drug I can take to manage the pain. I'd prefer to not need anything, but for me, Tramadol is the most benign of the choices available to me. In patients who have been previously dependent on or chronically using opioids, tramadol can also reinitiate physical dependence or precipitate withdrawal symptoms. In true addict fashion, I stopped the Zoloft, and kept on with the Tramadol.

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