Taking large quantities of Vicodin over a long period of time could lead to liver damage, liver failure, and even death.

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The effects of the medication last for about 4 hours. Traces of the medication can be found in the body for a number of days, and it can be detected in the hair for months.

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The recommended dosage of tramadol for adults is 50 to 100 mg every four to six hours in the beginning. You can increase the dose as directed by a doctor. However, a dosage of 400 mg per day must not be exceeded. 

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Tramadol has shown major drug interactions with medications such as Ambien (zolpidem), Cymbalta (duloxetine), Flexeril (cyclobenzaprine), gabapentin, hydrocodone, Lyrica (pregabalin), Norco (acetaminophen / hydrocodone), Percocet (acetaminophen / oxycodone), Suboxone (buprenorphine / naloxone), Xanax (alprazolam),  and Zoloft (sertraline).

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Tramadol shares many of the same effects as heroin but not as potent. However, it is addictive and can generate a sense of calm euphoria.

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Tramadol, which is similar to opioid analgesics, is used to treat moderate to moderately severe pain. 

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One of the side effects associated with tramadol is drowsiness. Therefore you should not use heavy machinery or drive until you know how you respond to the drug.

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It takes about 30 to 60 minutes for fast-acting tramadol to take effect. The effects wear off after 4 to 6 hours. Slow acting tramadol capsules take about a day or two to start working, but the pain relief effect lasts for longer.

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According to clinical evidence, the typical dose of Suboxone will be 12 mg to 16 mg daily. Although some individuals may require higher doses, it is best to take it as recommended by a healthcare professional.

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Physicians use anti-inflammatory medication such as naproxen or ibuprofen, alongside Suboxone for pain management.

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