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Prior to starting treatment with opioids, a discussion should be held with patients to put in place a strategy for ending treatment with tramadol in order to minimise the risk of addiction and drug withdrawal syndrome see section 4. The dose should be adjusted to the intensity of the pain and the sensitivity of the individual patient.

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Ultram tramadol is a narcotic-like pain reliever. Ultram is used to treat moderate to severe pain.

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