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Notify sufferers that: Tramadol Hydrochloride Extended-Launch is for oral use only and will be swallowed full. The capsule shouldn't be chewed, dissolved, crushed or break up. Tramadol Hydrochloride Extended-Release may well result in seizures and/or serotonin syndrome with concomitant use of serotonergic brokers (such as SRIs, NRIs, and triptans)