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Avoid using drugs that make you sleepy (such as cold medicine, other pain medications, muscle relaxants, and medicine for seizures, depression or anxiety).

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Clonazepam is clearly more than an anxiolytic medication.

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Because tramadol has virtually no binding affinity for any opioid receptors other than the mu receptor, the nociceptive receptor, it has little addictive potential in subjects not already addicted to opiates.

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I believe the max per day dose is 400 mgs.

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Does anyone have suggestions for other pain meds for break through pain?

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