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Source:MedicineNet Chronic Pain - Chronic pain persists over a long period of time and is resistant to most medical treatments.

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Tramadol (Ultram) acts on the central nervous system and unlike codeine and its derivative medications is a totally synthetic analgesic compound.

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We believe that maintaining drug concentrations within the therapeutic range has the advantage of fewer and less severe side effects while maintaining efficacy.

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Its mode of action resembles that of narcotics, but it has significantly less potential for abuse and addiction than the narcotics.

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Despite these claims, it is apparent in community practice that dependence to this agent may occur, but in higher doses and long-term usage.

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