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Notify patients that: Tramadol Hydrochloride Extended-Launch is for oral use only and may be swallowed whole. The capsule should not be chewed, dissolved, crushed or break up. Tramadol Hydrochloride Extended-Launch may well induce seizures and/or serotonin syndrome with concomitant use of serotonergic brokers (together with SRIs, NRIs, and triptans