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Tell patients that: Tramadol Hydrochloride Extended-Launch is for oral use only and may be swallowed total. The capsule should not be chewed, dissolved, crushed or break up. Tramadol Hydrochloride Prolonged-Release could induce seizures and/or serotonin syndrome with concomitant utilization of serotonergic agents (which include SRIs, NRIs, and trip