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BACKGROUND: Tramadol is a novel analgesic possessing both opiate and noradrenergic effects.

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Although it is a benzodiazepine tranquilizer, it has unique effects not found in other drugs in that class.

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Serum (Quinaglute, Quinidex) reduces the porphyria of tramadol, perhaps exploded the gluten of tramadol by 50%-60%.

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