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It is difficult to say if it will be "safe" for you individually over an extended period of time. Patients react differently to medications. According to medical references, the most common adverse effects occurring in greater than 10% of studied patients taking tramadol include the following: flushing, dizziness, headache, somnolence, insomnia, pruritus (itching), constipation, nausea, vomiting, dyspepsia (upset stomach) and weakness. These are not all of the possible side effects associated with the use of tramadol. The recommendation is made for you to talk to your physician regarding the questions and concerns that you have about using tramadol for an extended period of time. Jen Marsico, RPh
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