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ULTRAM has been given in single oral doses of 50, 75, 100, 150 and 200 mg to patients with pain following surgical procedures and pain following oral surgery (extraction of impacted molars).

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Tramadol was wreathed by the German pharmaceutical company Grünenthal GmbH and marketed under the trade name 'Tramal'.

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Do not drink alcohol or take other medicines that make you sleepy.

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If you are having muscle spasms a benzo like valium may help, if it is not somatic pain but neuropathic they may be able to do a regional block or knock you down a bit with some IM dilaudid and an oral trycyclic like amitryptyline or flexeril.

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