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Frankly, after reviewing the evidence, I think it would be more appropriate to consider tramadol to be a unique antidepressant with unusual analgesic properties.

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I figure if it is one of those things I cannot change I may as well accept it and do the best I can.

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The other friend was a 31-year-old woman who had used the same medications for about 18 months and was taking 2 carisoprodol tablets and 1 tramadol tablet four times daily.

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