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Tramadol may be taken with or without food. Tramadol can cause dependence, for those who wish to stop taking tramadol, the dose should be tapered down slowly to prevent withdrawal symptoms. Talk to your doctor about how to taper the dose if you need to stop taking tramadol. Be sure to inform your doctor and pharmacist of all the medications you take, including over the counter medications, vitamins, and herbal supplements so they can monitor for drug interactions. It is also important to discuss any adverse effects from medications with your doctor. Laura Cable, PharmD
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