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Do you mean the vicotyn mixture?

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Use of tramadol in conjunction with sedative/hypnotics in patients over 75 years of age will be reviewed as these patients may be more sensitive to the additive effects of this drug combination.

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Three long-term, controlled clinical trials involving 820 subjects (530 receiving tramadol ) have examined the efficacy of tramadol for chronic low back pain and pain associated with cancer, neuropathy, and orthopedic and joint conditions.

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Best Idea is to mention it to your GP.

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And sorry for my bad English.

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