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Tell patients that: Tramadol Hydrochloride Extended-Launch is for oral use only and may be swallowed full. The capsule shouldn't be chewed, dissolved, crushed or break up. Tramadol Hydrochloride Extended-Release may result in seizures and/or serotonin syndrome with concomitant usage of serotonergic brokers (which include SRIs, NRIs, and triptans) o