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Tramadol extended-release capsules may be used by adults who musthavetheirmoderatelysevere to severe chronic pain managed around the clock for an extended period of time.

Tramadol should not be used in children younger than 12 years of age, or in anyone younger than 18 years ofage with other risk factors (such as respiratorydistress), or who have recently had surgery to have their tonsils or adenoids removed.

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