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Since starting this drug I feel awesome. Apical and morphologically distributive since then. LugPizarnik Registrado en: Mar 20, 2007 http://www. Metabolism Tramadol undergoes hepatic metabolism via the cytochrome P450 isozyme CYP2D6 , being O- and N-demethylated to five different metabolites.
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However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule.
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