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Tramadol (Ultram) should be used with special caution because the non-observance of the dosage regimen and prolonged use of the high doses of analgetic may cause the following side effects:- deferred response- stimulation of the central nervous system (nervousness, anxiety, tremor, spasms, hallucinations)- sleep disorder- depression- stomach upset (diarrhea, vomiting, stomachache)- tachycardia- sharp attacks of hypotension- hives
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