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Tramadol should not be used in opioid-dependent patients, and use in patients who are chronically on opioids is also not recommended. I would not recommend taking tramadol or opiates for that matter while you're pregnant. Tramadol is a member of the drug class miscellaneous analgesics. Tramadol dosage should be reduced if it must be used in patients receiving opioids. Tramadol can pass into breast milk and may harm a nursing baby.

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