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Warnings Seizure Risk Seizures have been reported in patients receiving tramadol within the recommended dosage range.

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Metabolism: Following oral administration, tramadol is extensively metabolized by a number of pathways, including CYP2D6 and CYP3A4, as well as by conjugation of parent and metabolites.

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Tramadol works by decreasing the brain's perception and response to pain.

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Therefore, the combination of tramadol HCl/acetaminophen may be effective for the treatment of acute musculoskeletal pain.

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