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I have never heard of them using tramadol or cocodamol with the clonidine and subutex. In patients who have been previously dependent on or chronically using opioids, tramadol can also reinitiate physical dependence or precipitate withdrawal symptoms. I would not recommend taking tramadol or opiates for that matter while you're pregnant. Tramadol, known technically as an opioid analgesic, is a narcotic pain reliever. I have a painful chronic medical condition and have found tramadol to be the most effective and long lasting drug I can take to manage the pain.

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