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I would not recommend taking tramadol or opiates for that matter while you're pregnant. I'd prefer to not need anything, but for me, Tramadol is the most benign of the choices available to me. MANAGEMENT: Concomitant use of tramadol and other opioids should be avoided in general. Sick as a dog for the first couple tramadol-free days, felt like h*ll for a few more days, but I'll live. For many people, Tramadol is a useful alternative to traditional narcotics. In patients who have been previously dependent on or chronically using opioids, tramadol can also reinitiate physical dependence or precipitate withdrawal symptoms.

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